CONSULT REQUEST GUIDELINES                                                                         Print

Neurogenic Bladder

Suggested Pre-Referral Evaluation and Management Guidelines
1)Timed voiding.
2)Teach Clean Intermittent Catheterization (CIC) every 4-6 hours to keep bladder volumes less than 400 cc
3)If patient/ caregiver unable to perform CIC: place Foley catheter to relieve retention, when necessary
4)If in urinary retention, see Retention Consult Guidelines
Suggested Additional Test/Management Prior to Specialty Visit
1)Urinalysis and urine culture with sensitivities to confirm absence of infection
2)Renal ultrasound
3)Serum BUN and creatinine
Patient Education/Information (includes preps) Neurogenic Bladder

Frequency Volume Chart
Incontinence Protection Pad Weight Test
Appointment Timeframe Within 4 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-232-1610
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-7030
Clinic Location Sites Livonia Center for Specialty Care
Taubman Healthcare Center
UM Consulting Physician John Thomas Stoffel, MD
James Quentin Clemens, MD
Anne Kathleen Pelletier Cameron, MD
Cynthia Stroup, PA
Revised on: 02/29/2016



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