Genito-urinary tract

Urinary tract infection presenting with septicaemia/haematuria is not uncommon.

Bladder drainage with an indwelling urethral catheter and appropriate hydration of the patient with intravenous fluids is essential.

Patients could present with severe dysreflexic symptoms due to orchitis.

Renal tract calcification is well known. Urological assessments often include intravenous urography and/or ultrasound examination of the kidneys. Occasionally patients may have urinary tract infections associated with erosion of artificial urethral sphincter, implanted stent etc. Priapism related to administration of intracorporeal vaso-active drugs can cause retention of urine and occasionally dysreflexia. Aspiration of blood from the corpora together with injection of vaso-constrictors such as phenyl ephedrine would be of value.