Bladder and Bowel Dysfunction in Neurogenic Patients

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Workshop Schedule

10 mins

Michele Spinelli

15 mins

Julien Renard

15 mins

Anton Emmanuel

15 mins

Michele Spinelli

10 mins

Julien Renard

10 mins

Gianluca Sampogna

Aims & Objectives

Advanced
90 minutes
Anorectal / Bowel Dysfunction
Clinical
anorectal dysfunction fecal incontinence urinary tract infection
Urology, Urogynaecology and Female & Functional Urology, Bowel Dysfunction, Basic Science, Conservative Management

The aim of the course is to explore and discuss the interactions between lower urinary tract and gastrointestinal tract under both physiological and pathological conditions. Diseases in one of the organs may provoke alterations in bladder-bowel cross-talk, underlying clinical co-morbidity of bladder and bowel dysfunctions. Patients with neurological disorders may present altered cross-reflexes, which represent potential targets to plan and perform effective treatments, ranging from transanal irrigation to sacral neuromodulation.
At the conclusion of this activity, participants will be able to recognize alterations in bladder-bowel interactions, assess them appropriately, and re-establish physiological bladder-bowel communication.

Learning Objectives

  • To outline and discuss interactions between bladder and bowel under both physiological and pathological conditions.
  • To plan and organize an appropriate diagnostic work-up in patients affected by neurogenic bladder and bowel dysfunction.
  • To criticize and perform clinical decisions to re-establish physiological bladder-colon cross-talk, reducing fecal and/or urinary incontinence, urinary tract infections, and abdominal hyperalgesia, thus improving quality of life in neurogenic patients.

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