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My bladder, my life

Bladder management

  • Bladder types
  • Starting with catheters
  • Problems
  • Life hacks
  • Inside the bladder
  • Equipment
Inside the bladder
  • Anatomy and physiology of the bladder
    • Anatomy of the bladder
    • Physiology of the bladder
  • Medical procedures for a SCI bladder
    • Urodynamic study
    • Cystoscopy
    • Sphincterotomy
    • Cystolitholapaxy
    • Bladder augmentation
    • Urethral dilatation
  • Medications and other products you may be prescribed
    • Alpha blockers
    • Anticholinergics
    • Botulinum Toxin (BOTOX)
    • Hiprex and vitamin C
    • Cranberry
    • E. Coli
  • Common medical tests for a SCI bladder
    • Urine specimen
    • Fluid balance diary
    • Renal ultrasound
    • CT- Kidneys, ureters, and bladder (KUB)

    Sphincterotomy

    A sphincterotomy is a surgical procedure where one or both urethral sphincter muscles are cut, and are no longer able to stop the flow of urine. This means that urine can drain constantly and the pressure inside the bladder is low. Condom drainage is used after a sphincterotomy.

    When is a sphincterotomy performed?

    This procedure was common in the past for the management of detrusor-sphincter dyssynergia but advances in medicines and other methods of bladder management mean that it is very rare today.

    Some people who have had a sphincterotomy in the past may need to have it done again if there is a build-up of scar tissue or other changes in the urethra that is blocking the flow of urine.

    The need for a sphincterotomy and any risks involved should be discussed with your urologist.

    Cystoscopy
    Cystolitholapaxy

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    Quick links

    • Bladder types
    • Starting with catheters
    • Problems
    • Life hacks
    • Inside the bladder
    • Equipment

    About this resource

    This web resource is part of a research project to improve bladder management at the Austin, by increasing the use of intermittent catheterisation.

    The research project is funded by TAC.

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    This research project is brought to you by

    Austin Health
    TAC
    ISCRR
    WorkSafe

    Contacts

    Austin Health
    03 9496 5000
    Victorian Spinal Cord Service
    03 9496 5220
    Spinal Urology Nurse
    03 9496 5904
    spinalurologynurse@austin.org.au
    VSCS outpatient Nurse
    03 9496 5176
    vscsoutpatients@austin.org.au

    Disclaimer

    This information has been developed for Austin Health use and has been specifically designed for Austin Health. This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors have made a considerable effort to ensure the information is accurate, up to date and easy to understand. Austin Health accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed on this website. Written information should only be used in conjunction with advice from the health professional who is looking after you.

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