SKDI

3A

NEUROGENIC BLADDER
YOLANDA
1807101030023

Dokter Muda Ilmu Bedah

Kamis, 14 Mei 2020
 1

DEFINISI
Neurogenic bladder adalah suatu
disfungsi uretra dan vesika urinaria
akibat kerusakan sistem saraf
central atau perifer

Przydacz, Mikolaj, et al. What Do We Know About Neurogenic Bladder Prevalence and Management in
Developing Countries and Emerging Region of the World. Elsevier Masson SAS. 2017. 341-346
 ANATOMI 2

Guyton, AC and Hall, JE. Buku Ajar Fisiologi Kedokterean. Jakarta: EGC. 2013
 FISIOLOGI 3

Guyton, AC and Hall, JE. Buku Ajar Fisiologi Kedokterean. Jakarta: EGC. 2013
 EPIDEMIOLOGI 4
Prevalensi neurogenic bladder secara umum di asia sekitar 50,6%

Di Amerika Serikat pada kondisi tertentu neurogenic bladder akan

meningkat jumlahnya, 40-90% pada pasien dengan multipel
sklerosis

1. Ginsbarg, D. The Epidemiology and Pathophysiology of Neurogenic Bladder. The American Journal of
Managed Care, 2013.
2. Nelson, Jessica. Neurogenic Bladder and Its Management. Physician Assist Clin 3. 2018.
 5
FAKTOR
RISIKO Multiple Sclerosis

Parkinson

Stroke

Nelson, Jessica. Neurogenic Bladder and Its Management. Physician Assist Clin 3. 2018.
 6
ETIOLOGI
Infeksi akut • Mielitis transversal
Kelainan • Stroke
serebral • Tumor otak , dll
Alkoholisme Penyakit
kronis vaskuler
Trauma medula Gangguan
spinalis metabolik

Ginsbarg, D. The Epidemiology and Pathophysiology of Neurogenic Bladder. The American

Journal of Managed Care, 2013.
PATOFISIOLOGI 7

Dorsher, PT and McIntosh, PM. Neurogenic Bladder, Advance in Urology. 2012.

 Madersbacher Classification System of
KLASIFIKASI neurogenic lower urinary tract dysfunction 8

Madersbacher, Helmut, and Jerzy B. Gajewski. Classification and Terminology of Neurogenic Lower
Urinary Tract Dysfunction. Springer. 2019
MANIFESTASI 9
KLINIS

ISK Urgensi
Urgensi
Inkontenensi nocturia
Volume urine kecil
selama berkemih Frekuensi

Nelson,
. Jessica. Neurogenic Bladder and Its Management. Physician Assist Clin 3. 2018.
 10
DIAGNOSIS
ANAMNESIS

PEMERIKSAA
N FISIK

PEMERIKSAA
N
PENUNJANG
 11
ANAMNESIS •Bagaiman pola
berkemih?
•Apakah ada gangguan
saat berkemih?
•Faktor-faktor risiko
ditanyakan?

1. Brust JCM. Current Diagnosis and Treatment in Neurology. Lange Medical Books/ McGraw-Hill
Medical Publising Division. ISBN 13: 978-0-07-110-5554-5
PEMERIKSAAN FISIK 12
Pemeriksaan pada bladder:
•Pemeriksaan rektal
•Pemeriksaan genital
Uji neurologis:
•Pemeriksaan abdomen
•Status mental
•Refleks
•Kekuatan motorik
•sensibilitas

1. Brust JCM. Current Diagnosis and Treatment in Neurology. Lange Medical Books/ McGraw-Hill
Medical Publising Division. ISBN 13: 978-0-07-110-5554-5
PEMERIKSAAN PENUNJANG 13

Laboraturium:
•Darah
•urin Urodinamika:
•Cystometrography
•Postvoid residual urine
•Uroflometri Imaging:
•Elektromielografi •X-ray
sfinger •USG
•CT-SCAN
•MRI
1. Brust JCM. Current Diagnosis and Treatment in Neurology. Lange Medical Books/ McGraw-Hill
Medical Publising Division. ISBN 13: 978-0-07-110-5554-5
TATALAKSANA 14

Nelson, Jessica. Neurogenic Bladder and Its Management. Physician Assist Clin 3. 2018.
 TATALAKSANA 15

Cameron, Anne P. Medical Management of Neurogenic Bladder With Oral Therapy. USA: TransAndrolUrol. 2016.
 TATALAKSANA 17

Cameron, Anne P. Medical

Dorsher, PT and Management of Neurogenic
McIntosh, PM. NeurogenicBladder WithAdvance
Bladder, Oral Therapy. USA: TransAndrolUrol.
in Urology. 2012. 2016.
KOMPLIKASI
ISK 18

Bladder Outlet Obstruction

Sepsis

Gagal ginjal

Ginsbarg, D. The Epidemiology and Pathophysiology of Neurogenic Bladder. The American

Journal of Managed Care, 2013.
 DAFTAR PUSTAKA
19
1.Przydacz, Mikolaj, et al. What Do We Know About Neurogenic Bladder
Prevalence and Management in Developing Countries and Emerging Region of
the World. Elsevier Masson SAS. 2017. 341-346
2. Guyton, AC and Hall, JE. Buku Ajar Fisiologi Kedokterean. Jakarta: EGC.
2013
3. Ginsbarg, D. The Epidemiology and Pathophysiology of Neurogenic
Bladder. The American Journal of Managed Care, 2013.
4. Nelson, Jessica. Neurogenic Bladder and Its Management. Physician Assist
Clin 3. 2018.
5. Cameron, Anne P. Medical Management of Neurogenic Bladder With Oral
Therapy. USA: TransAndrolUrol. 2016.
6.Brust JCM. Current Diagnosis and Treatment in Neurology. Lange Medical
Books/ McGraw-Hill Medical Publising Division. ISBN 13: 978-0-07-110-
5554-5
7. Madersbacher, Helmut, and Jerzy B. Gajewski. Classification and
Terminology of Neurogenic Lower Urinary Tract Dysfunction. Springer. 2019.
8. Dorsher, PT and McIntosh, PM. Neurogenic Bladder, Advance in Urology.
2012
Thank You