26-year-old woman, T4 spinal cord injury, daily urinary leakage

A 26-year-old woman with a T4 American Spinal Injury Association Impairment Scale (AIS) A spinal cord injury is referred to your outpatient clinic for new daily urinary leakage between catheterizations. Recent urodynamic testing shows high storage pressures, and a renal ultrasound obtained by her primary care physician shows new mild bilateral hydronephrosis. She also asks whether her bowel program is set up correctly.