Combination type bladder

1. What percentage of patients with SCI develop detrusor sphincter dyssynergia?
2. What sort of lesion results in DSD?
3. What is the appearance of a DSD bladder?
4. What is the consequence of untreated DSD?
5. How is DSD treated?

Answers:
1. 85%
2. Any lesion between the pontine micturition center and the sacral micturition center (S2-S4).
3. Small, tight bladder, and tight sphincter.
4. Infected urine may travel toward kidneys.
5. Anticholinergic meds to expand the detrusor, ICP, antimuscarinic drugs to cause bladder relaxation, alpha-blocker to open bladder neck, sphincterotomy.