Difficulty with Voiding or Acute Urinary Retention Having Previously Voided Satisfactorily
Satisfactory micturition in spinal injured patients differs from that in the neurologically intact individual. The emphasis shifts from a physiological function which has to be socially acceptable in normal people, to that which is mandatory for preservation of the upper urinary tracts and avoidance of urinary infection, in patients with spinal injuries. This chapter addresses the problems encountered in patients in whom urethral voiding has been established following the initial management of their injury and yet present at a later stage with either acute urinary retention of with difficulty with micturition.
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