Disorders Of Micturition Complete or partial spinal cord lesion

isolates segmental innervation from cortical control

Retention develops

Retention develops

Increase in the intravesical pressure eventually overcomes internal sphincter integrity - and 'dribbling overflow incontinence' results.

Increase in the intravesical pressure eventually overcomes internal sphincter integrity - and 'dribbling overflow incontinence' results.

After some days or weeks a reflex bladder develops - automatic emptying may be induced by abdominal tapping. This voiding is often inadequate due to reflex contractions of the external sphincter before bladder emptying (autonomic dysynergia). High residual volumes result.

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