Immediate Management of the Inability to Void

  • E. J. McGuire
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)


Spinal cord injury induces a period of spinal shock during which all reflex activity below the spinal lesion is absent or markedly reduced. While reflex function is absent, internal sphincter closure is maintained and some method of bladder drainage is essential. For a number of reasons, including associated injuries requiring close monitoring of urine output, this is most frequently accomplished by Foley catheter drainage in the first 48–72 hours after injury, particularly in those patients requiring neurosurgical, orthopaedic or other surgical procedures. After initial stabilisation, the Foley catheters should be removed and intermittent catheterisation begun as soon as practicable.


Spinal Cord Injury Bladder Pressure Leak Point Pressure Intravesical Pressure Pubovaginal Sling 
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© Springer-Verlag London 1991

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  • E. J. McGuire

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