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Article |

The Urological Management of the Patient Following Spinal Cord Injury,

John S. Cowdery, MD
Arch Intern Med. 1975;135(5):754. doi:10.1001/archinte.1975.00330050128033.
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This excellent monograph offers practical management of all the difficult problems encountered in the care and, most important of all, the rehabilitation of patients who have had spinal cord injury.

The first two chapters discuss in simple, but concise and thorough terms the anatomy of the bladder and the physiology of micturition, with excellent, lucid diagrams. Next are discussed the changes that occur as a result of spinal cord injury: the disturbances of micturition in the upper motor neuron and lower motor neuron; incomplete mixed lesions; and the pathological changes that occur in the bladder. Diagnosis and treatment are excellently presented. This is followed by the bacteriological investigation and then the treatment of urinary tract problems.

The second half of the book is devoted to the following: the techniques of catheterization, which are presented very well, with many photographs; the staffing, design, and organization of a spinal unit; and lastly,


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