Which non-pharmacological strategy is commonly used by occupational therapists in neurogenic bladder management?

• A. Pelvic floor therapy
• B. Surgical bladder augmentation
• C. Chemotherapy
• D. Dialysis scheduling

Answer: (A)

In neurogenic bladder management, non-pharmacological approaches focus on restoring control and improving daily function through rehabilitation strategies. Pelvic floor therapy targets the muscles that support the bladder and urethra, helping to strengthen and coordinate the pelvic floor and external sphincter. This can improve continence and make toileting tasks more manageable, which aligns well with an occupational therapist’s goals of enabling independence and safer daily activities. It’s a non-invasive, therapeutic approach that OT practitioners commonly use as part of bladder training and timed voiding programs.

In contrast, surgical bladder augmentation is a major operative intervention, not a rehabilitative strategy. Chemotherapy is a systemic cancer treatment, and dialysis scheduling relates to kidney failure management, not bladder rehabilitation.