Help !

Postby JoeClark » Wed Nov 22, 2017 11:39 pm

I recently ( sept) had a fall from 6 feet backwards onto concrete, I was taken to hospital and went into AUR (acute urinary retention where you cant wee atall) so was catheterized,

Mri showed no damage to spine ! The urologist couldn’t explain the reason for my AUR and my lower back is very painful since I fell,

Could the force of a heavy fall have caused my AUR or could the mri have missed something ?


Please help.
Thanks!

I didn't find the right solution from the Internet.

References:https://www.spinal.co.uk/forums/topic/help/

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JoeClark
 
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Re: Help !

Postby zagam » Mon Jan 29, 2018 1:47 pm

Some SCI can only be seen on t2 MRI. Though rare a cracked rib can cause SCI. With MRI there will always be radiological evidence. This was not always the case with x-rays.

Most likely your urinary tract has just gone evil post-SCI. External urethral sphincter now blocks catheters?

Voiding post-SCI without a sphincterotomy is dangerous. If you can no longer get catheters in then will need suprapubic catheter or sphincterotomy.

37011 SUPRAPUBIC STAB CYSTOTOMY, not being a service associated with a service to which items 37200 to 37221 apply (Anaes.)


36854 CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)

http://ngbladder.org/treatments/4-2-i.asp

With low SCI then can just cut EUS, with a higher injury they do BN as well. If EUS is cut you will trigger void. If both are cut you will leak constantly.
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