Date: Wednesday 5 Nov. 2025

Id 119
Topic Pelvic Floor Bladder & Bowel
Main Speaker Raquel Neves Saudia Arabia
Co Speakers Rami Al Ahmar Jordan, IMEN MIRI TUNISIA
Attendees 50
Extra Fees –

Neurogenic bladder and bowel dysfunction are common in patients with spinal cord injury, stroke, multiple sclerosis, and other neurological conditions. Ineffective management can lead to complications such as urinary tract infections (UTIs), constipation, pressure injuries, and prolonged hospital stays. Many rehabilitation teams struggle with developing standardized, evidence-based bladder and bowel programs, leading to inconsistent care and poor patient outcomes. This workshop addresses these challenges by providing practical, multidisciplinary strategies to optimize neurogenic bladder and bowel management, improve patient quality of life, and reduce hospital length of stay (LOS).

Chairs Raquel Neves, Rami Al Ahmar

8H30 Overview of workshop objectives and topics.

8H35 Understanding Neurogenic Bladder and Bowel Dysfunction Pathophysiology and Causes:
– How neurological conditions (SCI, stroke, MS, Parkinson’s) impact bladder and bowel function.
– Differences between upper motor neuron (UMN) and lower motor neuron (LMN) dysfunctions.
o Assessment Tools & Diagnostic Criteria:
– Standardized assessments for bladder and bowel dysfunction.
– Urodynamic testing, stool consistency scales, and continence evaluation.
o Interactive Discussion: Challenges in assessment and management in different healthcare settings.

9H05 Best Practices in Bladder Management
o Evidence-Based Strategies:
– Catheterization options: intermittent catheterization, indwelling catheters, external devices.
– Timed voiding and bladder retraining programs.
– Medication management for detrusor overactivity and sphincter dysfunction.
o Complication Prevention & Management:
o Strategies to reduce urinary tract infections (UTIs) and antibiotic resistance.
o Managing hydration, fluid balance, and autonomic dysreflexia risks.
o Case Study Discussion: Participants analyze real-world bladder management scenarios

9H35 NETWORKING & DISCUSSION

9H45 Best Practices in Bowel Management
o Establishing Effective Bowel Programs:
– Digital stimulation, manual evacuation, and dietary modifications.
– Medication use: laxatives, stool softeners, suppositories, enemas.
o Preventing and Managing Common Complications:
– Identifying and treating chronic constipation, fecal incontinence, and impaction.
– The impact of bowel dysfunction on skin integrity and pressure injury prevention.
o Hands-on Activity: Developing a bowel program for a case scenario.

10H30 Integrating Multidisciplinary Team Approaches
o Collaboration Between Physicians, Nurses, and Therapists:
– The role of rehabilitation nurses, physiatrists, PTs, OTs, and case managers in bowel and bladder care.
– How speech therapists and dietitians contribute to patient success.
o Family and Patient Education:
– Teaching self-management strategies for long-term independence.
– Cultural considerations and barriers in patient adherence.
o Discussion: Identifying gaps in multidisciplinary team collaboration.

11H Protocol Development & Real-World Application

11H45 Open discussion and summary.