My Nephew has backbone injury due to accident on 7th dec 2010. Diagnosis
Hello welcome to Chat Doctor, your nephew has had spinal cord injury, so he has double incontinence that he is not able to appreciate the sensation but if he is able to walk then the autonomic nerve system is affected. We should treat him conservatively with injections and tablets to improve his spinal nerves and intermittent catheterization can be tried. So he has to meet a neurologist so that nerve conduction study can be done and the severity of nerve damage can be assessed and treated accordingly.