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D - Bladder Continence

Spotlight Best Practice Organization Spinal Cord Injury Program – Health Sciences Centre Winnipeg, Winnipeg Regional Health Authority, Winnipeg, Manitoba. In Winnipeg, there is a long-term, interdisciplinary approach to neurogenic bladder management. SCI physiatrists conduct testing and management follow up every year, for the first five years and every two years, thereafter. Any specific problems requiring urodynamic evaluation are assessed, with physiatrist-ordered tests; and a neuro-urologist is consulted for any concerns requiring cystoscopy evaluation and management, botulinum toxin injection or surgical management. The physiatrists and neuro-urologist have published on the use of anti-cholinergics in SCI, participated as strong recruiters in the botulinum toxin trials, and collaborate well together. Winnipeg’s interdisciplinary neurogenic bladder management team are at the cutting edge of treatments. Pictured here is the team at work providing botulinum toxin injections, with the aid of a cystoscope into the bladder via the urethra. This recent Health Canada approved treatment is well supported by the literature for use in overactive bladders with a low risk of side effects. BLADDER CONTINENCE | BODY STRUCTURE AND FNUCTION 57


D - Bladder Continence
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