UOROLOGY case1

CORRECT !!
The answer is b. Patients who
have a lower motor neuron lesion (flaccid neurogenic bladder) can usually
be managed by conservative measures that prevent the development of a
large residual urine volume in the bladder. These measures include intermittent
self-catheterization and scheduled voiding with increased abdominal
pressure provided by the Valsalva maneuver or manual pressure on the
abdomen. Detrusor contractions can sometimes be strengthened by
parasympathomimetic agents such as bethanechol chloride (Urecholine).
Bladder augmentation to increase capacitance, bladder neck resection to
reduce outlet obstruction, and supravesicle ureteral diversion are indicated
only in the presence of deterioration of bladder compliance or gross ureterocalyxectasis
that resists the foregoing measures and threatens the loss of
renal function or debilitating urinary incontinence. Severely restricting
fluid intake is impractical and may promote formation of calculi