Reflexic Incontinence

DEFINITION:

Spinal cord injury interrupts the conscious control of the bladder. There may or may not be sensation present.

PATHOPHYSIOLOGY:

Injury that damages or severs the spinal cord. Spinal reflex arc intact as evidenced by anal wink (pin prick to anus elicits a tightening of sphincter).

SIGNS & SYMPTOMS:

No ability to consciously void. Voiding may be achieved by stimulation of the reflex arc, such as bladder tapping and other methods.

MANAGEMENT

Reflexic UI needs more than basic treatment and management.
Patient should be referred to urologist and/or physical medicine MD.
Nursing care should be provided by nurses trained in rehabilitation concepts including treatment for autonomic dysreflexia, a life threatening condition that can occur in a person with an injury of the spinal cord at T6 and above.

For indepth information regarding bladder management in patients with spinal cord injuries please read the RnCeus.com course: Bladder Management after Spinal Cord Injury: A Practical Approach