• Urinary incontinence, frequency, retention, or other kinds of vesical dysfunction are symptoms that must be accurately interpreted and may demand prompt treatment.
Urinalysis and culture, determination of residual urinary volume, observation of frequency and amounts, observation of the urinary stream, and rectal and pelvic examinations supply essential information; the neurological examination should consider both the sensory and the motor components of the vesical mechanism.
The bladder should receive attention in cases of cerebrovascular accident and in diseases of the spinal cord. This includes poliomyelitis, for episodes of urinary retention are not uncommon during the paralytic stage.
The management of these disorders includes such techniques as catheterization with periodic drainage, the use of parasympatholytic drugs such as atropine, and habit training. Proper management is well within the range of the physician who is charged with the general care of the patient.
Talbot HS. CARE OF THE BLADDER IN NEUROLOGICAL DISORDERS. JAMA. 1956;161(10):944–947. doi:10.1001/jama.1956.02970100010004
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