Lesions of the cauda equina

result in a parasympathetic denervated bladder which enlarges - flaccid neurogenic bladder -again with

'overflow incontinence'

Sensation is lost in the sacral dermatomes. Anal tone is diminished and the anal reflex absent.

After weeks or months, abdominal compression combined with a Valsalva manoeuvre can induce efficient bladder emptying.

Urinary and, less commonly, associated faecal incontinence occurs in women following traumatic childbirth with injury to the innervation of striated pelvic floor musculature.

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Pregnancy And Childbirth

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