Long-term catheterization Loss of urge to urinate, control Suprapubic catheter of sphincter Intermittent cath Inability to sense fullness Mitrofanoff (sx – use appendix UTI between bladder and stoma) Hydronephrosis Meds for BM Decline in renal fxn Scheduled BM Renal calculi Constipation Incontinence Hemorrhoids Ileus Sexual SCI Loss of psychogenic erection Viagra Reflex (physical stimulation) Injection therapy may still be present Vacuum pump Surgical implant Psychosocial Loss of body image, Monitor for inadequate independence, control, coping economic security Encourage to discuss feelings Lifestyle changes Allow to participate in Stress, strain on relationships decision-making Withdrawal from social Avoid eye contact Refuse to participate
Long-term catheterization Loss of urge to urinate, control of sphincter Inability to sense fullness UTI Hydronephrosis Decline in renal fxn Renal calculi Constipation Incontinence Hemorrhoids Ileus Suprapubic catheter Intermittent cath Mitrofanoff (sx – use appendix between bladder and stoma) Meds for BM Scheduled BM Sexual SCI Loss of psychogenic erection Reflex (physical stimulation) may still be present Viagra Injection therapy Vacuum pump Surgical implant Psychosocial Loss of body image, independence, control, economic security Lifestyle changes Stress, strain on relationships Withdrawal from social Avoid eye contact Refuse to participate Monitor for inadequate coping Encourage to discuss feelings Allow to participate in decision-making
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