Chapter 16 - Telerehabilitation in Neurogenic Bladder and Bowel Dysfunction

Abstract

Effective management of neurogenic bladder and bowel lifelong is a high priority for the rehabilitation team. Remote long-term follow-up and management of neurogenic bladder and bowel dysfunction have been established by specialized health services using many different types of telecommunication technology. The authors discuss neurological diseases and incontinence management as well as applicability of telehealth to neurogenic bowel and bladder management. Historical experiences and three different approaches are discussed as implemented in different health care settings by comprehensive neuro- urology and rehabilitation programs. A helpful checklist to focus the interview on the issues of primary interest is also included. In conclusion, the authors believe telehealth will not replace in-person visits, but it is a promising way to triage patients, differentiating cases that can be managed safely at a distance and people who require extensive in-person evaluations. In this way, waiting lists for first visits and emergencies can be shortened and longer, higher-quality face-to-face care can be provided without time constraints.