To Pee or Not to Pee: Bowel and Bladder Function in Patients with Neurologic Issues

Description: Patients that are being treated for neurologic dysfunction have a variety of therapy services offered to them. Many physicians and therapists overlook bowel and bladder concerns for these patients as an untreatable side effect. There are a variety of behavioral and pelvic floor interventions that can be applied to this patient population. This masterclass will present the common bowel/bladder and sexual side effects that patients can experience with diagnoses of stroke, Multiple Sclerosis, ALS, Spinal Cord Injury and Parkinson’s Disease. Medical treatments of bowel and bladder dysfunction in the neurogenic population will be delineated. The webinar will then explore behavioral interventions that therapists and caregivers can apply to be able to alleviate some of the quality-of-life impact that these dysfunctions can have. Therapists will leave this power talk with knowledge of the screening maneuvers used in these clients and basic advice that can be given to this population of patients.

Learner Outcomes: Upon completion of this webinar, participants will be able to: 

  • Participants will be able to connect the anatomy and physiology of micturition to the neuroanatomical issues experienced by patients with MS, SCI, CVA and Parkinson’s disease
  • Participants will be able to design a basic educational treatment plan for bowel and bladder programming for patients with neurologic issues
  • Participants will be able to evaluate the impact that bowel and bladder issues are having on their clients with neurologic issues.

Instructor:  Carina Siracusa, PT, DPT, WCS, OnCS, Board-Certified Women's Health Clinical Specialist practices with Ohio Health in Columbus, Ohio

Audience:  Nurses, Occupational Therapists, Occupational Therapy Assistants, Physical Therapists and Physical Therapist Assistants

Note: You will have 3 months from the date of purchase to complete and review the course material. You will receive a reminder email 2 weeks before the expiration date.

Continuing Education Credits


The Shirley Ryan AbilityLab is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. This CNE is being offered for 1.5 contact hours of continuing nursing education.

In order to receive contact hours for the live event, nurses must attend the entire webinar and complete the evaluation. For the on-demand self-study they must also complete a post-test with a minimum passing score.

Occupational Therapists:

The Shirley Ryan AbilityLab is an AOTA Approved Provider of professional development. Course approval ID# 05174. This distance learning interactive webinar is offered at .15 CEUs [intermediate, OT service delivery/ Foundational Knowledge]. AOTA does not endorse specific course content, products, or clinical procedures.

Physical Therapists:
The Illinois Physical Therapy Board has approved this course for 1.5 Contact Hours.  Approval #216-000069

The Shirley Ryan AbilityLab is recognized by the New York State Education Department’s State Board of Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.  This course has been approved by the New York Physical Therapy Board for 1.5 Contact Hours. 

The following states require continuing education units with no state-specific approval:  CT, IA, and WA


Course Directors and Planning Committee Members:
Julie Lenkiewicz, MS, CCC-SLP                                 Has nothing to disclose.
Melissa Kolski, PT, OCS, Dip MDT                            Has nothing to disclose.
Leslie Marriott, OT                                                   Has nothing to disclose.
Pamela Pfeifer, MS, RN, NPD-BC                             Has nothing to disclose.
Speakers, Moderators and Panelists’ Disclosure Information:
Carina Siracusa, PT, DPT, WCS, OnCS                      Has nothing to disclose.


Technology Requirements: To participate, you will need access to a device with an Internet connection. Computers, laptops, iOS and Android devices are supported.

High-speed broadband Internet access (LAN, Cable or DSL) is highly recommended.

Additional requirements include:

  • Web browser: latest stable version of Chrome, Firefox, or Safari
  • JavaScript and Cookies enabled
  • Speaker and microphone, or headset with microphone, or phone to listen to webinar facilitators
  • Do NOT use Internet Explorer or Microsoft Edge as they are not supported.

      Cancellation Policy: To request a cancellation of an on-demand program, please provide written notice by letter or email or contact us by phone within 24 hours of placing your order and we will refund you the full course fee. If you cannot give notice within 24 hours, a credit towards a future course of equal value would apply.


      Online Learning Nurses Occupational Therapists Occupational Therapy Assistants OTA and PTA Physical Therapist Assistants Physical Therapists