I had a major accident and am paralyzed to the right leg, I have bladder retention and according to two scans, there is always 280-300cc left in the bladder. The paralysis was due to a squished nerve in my lower back. My last scan was today, same thing. I should send my urologist this video
How could anyone thumb down this video? This doctor may have just saved my life. I was just diagnosed with Detrusor Hyperreflexia, Impaired Contractility.
Excellent video. Made me get a deep understanding of the topic. I would like you to share more videos about urologic conditions with your amazing explanations. Thanks.
Thank you - great lecture - do you have a lecture going into each of the nerves for the micturition reflex and how they are affected in a spinal cord injury please?
Loved the video!!! I would like to know when is the following video getting posted? I know this video been a year. I would love to learn more so please put up or make your following video. Thanks hope to get a reply or where to find more info about it.
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Excellent video!!! Loved the explanation! i have a question, in the case of of sacral spinal cord injury, from what i understand according to this video, that the injury interrupts the bladder reflex-meaning if urine fills & fills no sensation & no contraction can be felt nor occur. This results in bladder holding lots of urine without the urgency sensation. No detrusor contraction or diminished causing flaccid bladder & stress incontinence occurs. If the urine is also retained in this case, why are there no high bladder pressure or hydronephrosis like the suprasacral SCI? is it just bcs of weak bladder& sphincters? I hope im making sense.
@@user-ru5dh5dn2r dont know yet. Probably disc herniation in the spine. It can press on nerves which impact the bladder. But this is one of the possible reasons. Have an appointment for mri of lumbar and chest zones of the spine. But it all is gonna be after the quarantine.
Good vid. I got a back injury a few weeks back. For some days now, I've been guessing when to urinate since I'm not getting the nerve signals to do so. Wonder if that heals on its own.
Looking for your thoughts on bladder sensation. My issue is that I don’t feel when my bladder is full. I have no sensation of bladder fullness. When I sit to urinate, I can void with no problem and ultrasounds show that my bladder is in fact completely emptying. But what could cause sensory issues ??? I am 10 months postpartum with a mild prolapsed uterus and bladder. Could this be causing pressure on the sacral nerves? The loss of bladder sensation arose 7 months post partum and were not present before. Your video mentions that the sacral nerve controls the reflex. By all accounts my reflex is working fine but might you know what causes issues solely with sensation ? Thanks so much
I had a disc extrusion and sequestration at L5S1 and aside from causing excruciating pain and loss of the ability to walk, I also lost the ability to urinate during that time. I had a microdiscectomy and laminectomy but the weakness and pain in my leg never went away and I was left with urinary retention. . Now I get UTI’s frequently - about 4 a year.
Do you have a catheter ? I have urine retention. I've been using intermittent catheters for 8 years. No infections. No medications. No surgery. Absolute relief , Regular and predictable bathroom breaks.
Only sacral nerves innervates the bladder? What about the sympathetic innervation (T11 to L2)? They don't have any role in these injuries?? Pls explain.
Hello prof...am from Ethiopia..I am tetraplegic from C6 complete spinal cord injury with supra sacral neurogenic bladder for 5 years...I have indwelling transurethral catheter...Chronic UTI(poly antimicrobial resistant) is a constant battle.......Intermittent catheterization is not an option here....Am planning on having suprapubic cystostomy...I have both Epidural & sacral stimulators placed 2 years ago in India... Any advice on how to further manage my raging UTI..
Hey my niece by default born has issue we are doing every 4 hour we are doing cic treatment but is it necessary surgery and what’s consequences before and after surgery please let me know asap
I had a hydronephrosis about 10 years. I had meningitis when I was 11 months old and somehow my nerves in spinal cord got damaged too. I sometimes don't feel my bladder. Oh, and now I'm an dialysis patient due to hydronephrosis.
This is kind of off topic, but you mentioned sacral spinal cord injuries. I know of a couple of people with L2 injuries that say they are paraplegics with spinal cord injuries. If the spinal cord ends at L1...how can L2 and lower equate to a spinal cord injury? Do the nerves somehow bounce damaged signals up to the spinal cord?
To my understanding sometimes the spinal cord can end at L2 depending on the person. Also the very end of the spinal cord is called the conus medullaris which ends somewhere at L1 and L2, it’s still part of the spinal cord.
'Sometimes' is the operative word here. The tip of the spinal cord or conus is situated at L2 vertebral level. Below L2, there is only spinal roots, called the cauda equina. Usually this occurs when people have an extra vertebrate...but we are talking about an incredibly small part of population.
I always feel like i have to pee. Its as if i constantly feel it filling. Mris did show i have 2 bulging discs next to each other in my cervical spine. My neuro didnt think much of it but a chiropractor wanted to fix it. Is it possible this could be causing bladder issues?
I also have the same issue.Today I under gone a ultra sound test in bladder.no any major findings.I also have back pain related to disc bulging.I think my nerves are damaged.pleae kindly let me know if you got any kind of succesful treatment.
Hi I've recently last year had an operation due to severe herniated disc on my lumba spine causing incomplete cauda equina then not long afterwards ended back in hospital due to my disc herniating on the other side anyways my issue is now for past several months I've been going through some bladder problems unable to hold myself and find myself running to the toilet I'm not in severe pain anymore just odd here and there pain but now I'm confused could this be the start to complete cauda equina please help what do I do 😩
Hello! I hope my answer is not disrrspectful... I know this video refers to people and it's not easy at all to live with it. Now I'm genuinely worried about my male cat who had spinal cord injury back in March 2020 and now is missing. I emptied his bladder manually every single day until Nov 3rd 2021 (and it was usually really full, few times not - maybe he drank less water). Then he got lost this week. I'm not sure if he can pee on his own and I'm worried the bladder might burst if nobody is there to help him. It's not written on him he has this condition. Is there a hope he can empty the bladder on his own now, 1 year 7 months after the injury? Around the time 7:00 in this video, there was something about reflexes coming back after longer time (he can walk and poop on his own, btw). What are the chances of him being still alive 4 days on his own with this condition?? (if I suppose he gets food and water somewhere...) It would be horrible to die in pain from this condition...
Dr My name is neha ....My daughter is 4 month old she has phidrocehly her surgery n had over after her surgery she is unable to pass uring ..... Bus before surgery she ues to pass uring normally.......but now he started to pass uring but Dr r saying he haven't control her uring ...
Neha Vikas A 4 month old baby has no bladder control to begin with which is perfectly natural If a baby has problems passing urine it's usually a problem with the Kidneys and this needs medical attention I'm glad to her your little one is doing well and I wish our son all the best
Same here. My bladder's tap is always open and I get incontinence all the time. I thought I was lucky that I didn't have to cath but this is just as bad of a curse.
![Classifying Spinal Cord Injuries using ASIA Scoring [Explanation + Example 1]](http://i.ytimg.com/vi/LErgPVcgHW0/mqdefault.jpg)
I had a major accident and am paralyzed to the right leg, I have bladder retention and according to two scans, there is always 280-300cc left in the bladder.
The paralysis was due to a squished nerve in my lower back.
My last scan was today, same thing.
I should send my urologist this video
How could anyone thumb down this video? This doctor may have just saved my life. I was just diagnosed with Detrusor Hyperreflexia, Impaired Contractility.
How is your condition now.my father is also diagnosed with neuro genic bladder.is your condition improved ?
this is the best video on youtube. thank you for explaining this so well.
Perfect explanation, short - clear and concisely.
Excellent Explanation. Was searching for this clear stuff for a long time.
Excellent video. Made me get a deep understanding of the topic. I would like you to share more videos about urologic conditions with your amazing explanations. Thanks.
Interesting vid, Doc. Thanks for showing up in my recommended.
This was amazing!! I was so lost with all of this!
Thank you for this video, it has helped me understand myself and issues better.
Excellent , simple and straightforward explanation! Simply loved it😍Thank you so much!!
This was really excellent 👍!, Thanks for explaining it so simply.Take care.
Amazing lecture Dr, thank you so much!
Thank you - great lecture - do you have a lecture going into each of the nerves for the micturition reflex and how they are affected in a spinal cord injury please?
Amazing explanation. It's very Useful for my urology residency exams.
Fantastic learning resource. Thank you very much
Loved the video!!! I would like to know when is the following video getting posted? I know this video been a year. I would love to learn more so please put up or make your following video. Thanks hope to get a reply or where to find more info about it.
Excellent explanation indeed in this video.
Superbly explained thank you sir
amazing video, thanks a lot for your efforts.
Great teaching! Thank you very much!
Thank you, finally I understand this topic
good video, clearly explaining. please xplain upper motor neuron and lower motor neuron difference in the same manner.
Very good explanation
Thank you so much Dr.
Incomplete injury explanation is what I wanted to know.....but remaining explanations were classy
thanks professor X!
Thank you very informative.!
excellent video!
Very helpful video Sir❤️
Great explanation!
Best explanation thanks
very well explained sir...
Great Video clip! Apologies for the intrusion, I would appreciate your opinion. Have you tried - Dinanlinson Natural Treatment Approach (do a search on google)? It is an awesome exclusive guide for getting rid of erectile disfunction (ED) without the headache. Ive heard some amazing things about it and my friend got cool success with it.
Amazing explanation sir thank youuuu much ❤️🙏🙏🙏❤️🙏
Thanks you explained well
Thank you very much sir for excellent outstanding simplified lecture on one of the most difficult topic .. kindly upload more such videos
😂
Thank you so much.
Well explained thank you so muuuuuch
I tried finding the follow up video can some one share the link
Thank you for this video.
I understand things a lot better
thank you
Excellent video!!! Loved the explanation! i have a question, in the case of of sacral spinal cord injury, from what i understand according to this video, that the injury interrupts the bladder reflex-meaning if urine fills & fills no sensation & no contraction can be felt nor occur. This results in bladder holding lots of urine without the urgency sensation. No detrusor contraction or diminished causing flaccid bladder & stress incontinence occurs. If the urine is also retained in this case, why are there no high bladder pressure or hydronephrosis like the suprasacral SCI? is it just bcs of weak bladder& sphincters? I hope im making sense.
Wating for yoursecond part video. Not yet released.
Now I understand what’s going on with me. Thank you
Recently found out the cause of my frequent urination. The diagnose was nurogenic bladder. Thank you was such clear explenations!! Subscribed!
Is frequent urination is because of neurogenic bladder?
@@user-ru5dh5dn2r yes
@@OleksandrPlakhtii what's the reason
@@user-ru5dh5dn2r dont know yet. Probably disc herniation in the spine. It can press on nerves which impact the bladder. But this is one of the possible reasons. Have an appointment for mri of lumbar and chest zones of the spine. But it all is gonna be after the quarantine.
@@user-ru5dh5dn2rYou could have an overactive bladder, as I do!
Veryyyyyyy helpful video thanks a lot
Thanks Very Informative. Spinal Fusion C4-7 with Neurogenic Bowel/Bladder. Regulating is better yet ongoing.
hi, can i contact you as my brother just had accident and i want to get any info, please reach me out . thank you
Thank you dear
Thank you sooooo much ❤❤❤❤❤❤❤
Very helpful
Good vid. I got a back injury a few weeks back.
For some days now, I've been guessing when to urinate since I'm not getting the nerve signals to do so. Wonder if that heals on its own.
Buena explicación... My friend
excellent urology...
A doc told straight in my
face that nerves have been cut . Sacral, ulnar etc. Many.
Some can be dam blunt
Please explain??
Looking for your thoughts on bladder sensation. My issue is that I don’t feel when my bladder is full. I have no sensation of bladder fullness. When I sit to urinate, I can void with no problem and ultrasounds show that my bladder is in fact completely emptying. But what could cause sensory issues ??? I am 10 months postpartum with a mild prolapsed uterus and bladder. Could this be causing pressure on the sacral nerves? The loss of bladder sensation arose 7 months post partum and were not present before. Your video mentions that the sacral nerve controls the reflex. By all accounts my reflex is working fine but might you know what causes issues solely with sensation ?
Thanks so much
When is video on treatments for bladder available?
Amazing Explanation,
Whare can I find the video on treatment options...pls provide the link.
Thank you
Good from ka flame
I had a disc extrusion and sequestration at L5S1 and aside from causing excruciating pain and loss of the ability to walk, I also lost the ability to urinate during that time. I had a microdiscectomy and laminectomy but the weakness and pain in my leg never went away and I was left with urinary retention. . Now I get UTI’s frequently - about 4 a year.
Do you have a catheter ?
I have urine retention. I've been using intermittent catheters for 8 years. No infections. No medications. No surgery. Absolute relief , Regular and predictable bathroom breaks.
Excellent
Only sacral nerves innervates the bladder? What about the sympathetic innervation (T11 to L2)? They don't have any role in these injuries??
Pls explain.
Thaks Doctor
Thank you :)
I had a back injury my discs burst backwards and severed my nerves to bladder and bowel I have no control of both ends
Perfect ❤
Hello prof...am from Ethiopia..I am tetraplegic from C6 complete spinal cord injury with supra sacral neurogenic bladder for 5 years...I have indwelling transurethral catheter...Chronic UTI(poly antimicrobial resistant) is a constant battle.......Intermittent catheterization is not an option here....Am planning on having suprapubic cystostomy...I have both Epidural & sacral stimulators placed 2 years ago in India... Any advice on how to further manage my raging UTI..
Sir which nerve involve in initiation of micturation?
Excellent info. The music did not go with it.
Please can you share your website to get in touch
I have stenosis of the lumbar and now have lots of issues with burning without infection
Hey my niece by default born has issue we are doing every 4 hour we are doing cic treatment but is it necessary surgery and what’s consequences before and after surgery please let me know asap
Sir. How to recovery.
Is it recoverable the sensation?
It basically depends on if they are in cahoots with you
I had a hydronephrosis about 10 years. I had meningitis when I was 11 months old and somehow my nerves in spinal cord got damaged too. I sometimes don't feel my bladder. Oh, and now I'm an dialysis patient due to hydronephrosis.
Sorry to hear that 😞 , Sure that you will be well soon , ❤️ from 🇮🇳
@@MidhunKrishnaR thanks, it means a lot to me. 😊
Do you have spina bifida?
@@sachinchavan1870 to not know, what it means. Now I know, I to not have it, I have meningitis and this disease alone made it this way I am already.
Hi
This is kind of off topic, but you mentioned sacral spinal cord injuries. I know of a couple of people with L2 injuries that say they are paraplegics with spinal cord injuries. If the spinal cord ends at L1...how can L2 and lower equate to a spinal cord injury? Do the nerves somehow bounce damaged signals up to the spinal cord?
To my understanding sometimes the spinal cord can end at L2 depending on the person. Also the very end of the spinal cord is called the conus medullaris which ends somewhere at L1 and L2, it’s still part of the spinal cord.
'Sometimes' is the operative word here. The tip of the spinal cord or conus is situated at L2 vertebral level. Below L2, there is only spinal roots, called the cauda equina. Usually this occurs when people have an extra vertebrate...but we are talking about an incredibly small part of population.
Professor... "affect" not "effect" (in the title)
where is the next video ?
Plzzz help me what to do she is my 1st child
Great 👍
I always feel like i have to pee. Its as if i constantly feel it filling. Mris did show i have 2 bulging discs next to each other in my cervical spine. My neuro didnt think much of it but a chiropractor wanted to fix it. Is it possible this could be causing bladder issues?
I also have the same issue.Today I under gone a ultra sound test in bladder.no any major findings.I also have back pain related to disc bulging.I think my nerves are damaged.pleae kindly let me know if you got any kind of succesful treatment.
I lost my ability to urinate on my own due to Durel Tear. I had surgery in September and now it's February and I still don't have control...
Hi I've recently last year had an operation due to severe herniated disc on my lumba spine causing incomplete cauda equina then not long afterwards ended back in hospital due to my disc herniating on the other side anyways my issue is now for past several months I've been going through some bladder problems unable to hold myself and find myself running to the toilet I'm not in severe pain anymore just odd here and there pain but now I'm confused could this be the start to complete cauda equina please help what do I do 😩
Carrie Schofield did you speak to your doctor?
Following
Hello! I hope my answer is not disrrspectful... I know this video refers to people and it's not easy at all to live with it. Now I'm genuinely worried about my male cat who had spinal cord injury back in March 2020 and now is missing. I emptied his bladder manually every single day until Nov 3rd 2021 (and it was usually really full, few times not - maybe he drank less water). Then he got lost this week. I'm not sure if he can pee on his own and I'm worried the bladder might burst if nobody is there to help him. It's not written on him he has this condition. Is there a hope he can empty the bladder on his own now, 1 year 7 months after the injury? Around the time 7:00 in this video, there was something about reflexes coming back after longer time (he can walk and poop on his own, btw).
What are the chances of him being still alive 4 days on his own with this condition?? (if I suppose he gets food and water somewhere...)
It would be horrible to die in pain from this condition...
The injury is about 2/3 down to his tail. Also his tail had to be amputated (one half of it), as it was too long and he just dragged it behind him
@@velvetheartcoffee7340 He needs to be seen by a Vet!
Godbless nice 👍
Great explanation , but how to cure it
Wooooow 🔥🔥
Feel like crying
Hi sir
Can a epidural steroid injection cause this spinal injury ?
CAUDA EQUINA SYNDROME AFTER EPIDURAL STEROID
INJECTION ??
Sounds Familiar and explains a lot.
Dr My name is neha ....My daughter is 4 month old she has phidrocehly her surgery n had over after her surgery she is unable to pass uring ..... Bus before surgery she ues to pass uring normally.......but now he started to pass uring but Dr r saying he haven't control her uring ...
Neha Vikas A 4 month old baby has no bladder control to begin with which is perfectly natural
If a baby has problems passing urine it's usually a problem with the Kidneys and this needs medical attention
I'm glad to her your little one is doing well and I wish our son all the best
I do p ever 15 minutes it's ridiculous how many times I go pee
Now what is your condions.has it been improved?
professor X alias Cerebro
D5 d6 d7 complete Injury recovery possible
It does AFFECT, not EFFECT
My dad pees himself
And 💩
Pushing pee
Sem problem me ser
I can’t hold my bladder or my bowels L5S1 and 6
Same here. My bladder's tap is always open and I get incontinence all the time. I thought I was lucky that I didn't have to cath but this is just as bad of a curse.
Bro it's
"AFFECT THE BLADDER"
NOT
"EFFECT THE BLADDER"
really doctor?
Ppl r dumb dey no my spinal cord is messed up but still confused bout over active Blatter
Stephen Burrell ugh
AFFECT, not effect
Please urdu
“Effect”? If you don’t even know the difference between effect and affect, I’m not sure if I trust your videos.