Also called neurogenic bladder, this can result from spinal injuries, neurological disorders and congenital malformations. Neurogenic bladder requires treatment from urologists who specialize in neurourology.
A urologist or urogynecologist can diagnose and treat neurogenic bladder. The symptoms of neurogenic bladder may resemble those of other conditions and medical problems.
Bladder augmentation - Enterocystoplasty
The surgical bladder augmentation is indicated for the treatment of neurogenic detrusor overactivity when the intravesical botulinum toxin injection fails or in cases of low bladder compliance.
What complications are related to neurogenic bladder? People who have neurogenic bladder are at higher risk for other urological problems, including repeated infections, kidney damage, vesicoureteral reflux and stones that form in the urinary tract.
While neurogenic bladder can't be cured, necessarily, it can most definitely be managed. Most cases of neurogenic bladder can be managed with medication and intermittent catheterization. The minority of children with the condition need major reconstructive surgery.
The life expectancy of patients in the VS ranges from 3 to 5 years [6].
There are treatment options and other ways to manage neurogenic bladder, such as: Lifestyle changes. Regularly scheduled bathroom breaks, avoiding foods and drinks that can irritate the bladder, and exercises to strengthen the bladder muscle can all help improve bladder control.
Reflex neurogenic bladder is most often seen after traumatic spinal cord injuries, transverse myelitis, extensive demyelinating disease, or any significant supraspinal spinal cord disease. There are low volume uninhibited contractions, but there are no voluntary detrusor contractions and no sensation of fullness.
Risk factors
Potential causes of bladder dysfunction include: Diseases that affect your nervous system, including tumors of your central nervous system. Erectile dysfunction (ED) Diseases such as Alzheimer's, diabetes, polio and syphilis.
It is important to treat neurogenic bladder to prevent kidney damage due to urinary problems. If neurogenic bladder goes untreated, a patient might develop renal disease. People with renal disease may require dialysis or a kidney transplant.
Sometimes surgery is needed. Surgeries for neurogenic bladder include: Artificial sphincter. Electrical device implanted near the bladder nerves to stimulate the bladder muscles.
Risk factors for upper urinary tract deterioration include loss of bladder compliance, repeated bouts of pyelonephritis, and chronic indwelling catheterization. Other long-term complications include nephrolithiasis, refractory urinary incontinence, and malignancy.
Diane Newman, adult nurse practitioner and a continence nurse specialist in urology outlines four types of neurogenic bladder disorders: atonic bladder, hyper-reflexive bladder, uninhibited bladder, and sensorimotor paralytic bladder.
Brain Magnetic Resonance Imaging (MRI) Identifying brain areas involved in changes in bladder volume and urgency to void affecting brain activity might help to understand brain mechanisms that control urinary continence and micturition.
Hinman syndrome, also known as Hinman-Allen syndrome or non-neurogenic neurogenic bladder, is a rare voiding disorder that is believed to be neuropsychological in origin as no neurologic deficit is present.
Neurogenic bladder is when a problem in your brain, spinal cord, or central nervous system makes you lose control of your bladder. You may pee too much or too little. You could have symptoms of both overactive bladder (OAB) and underactive bladder (UAB). You may not be able to fully empty it.
A neurogenic bladder disability is rated according to the level of voiding dysfunction. 38 C.F.R. § 4.115b, Diagnostic Code 7542. Voiding dysfunction is to be rated as urine leakage, frequency, or obstructed voiding.
The second theory is that anxiety and stress can cause muscle tension, which can affect the muscles of the bladder and increase the urge to urinate. Anxiety and depression are also associated with nocturia, which is the term for frequently waking during sleep to go to the bathroom.
When assessing neurogenic bladder, a panel of lab tests including urinalysis, urine culture, serum blood urea nitrogen (BUN) and creatinine, and creatinine clearance are ordered.
Some systematic reviews have indicated that acupuncture is beneficial to diabetes and neurogenic bladder. Acupuncture has existed for more than 2500 years, which is an integral part of traditional Chinese medicine, commonly used in the treatment of diabetes and its complications.
Neurogenic bladder involves the nervous system and the bladder. Your health care provider will conduct different tests to determine the health of both.
Millions of people have neurogenic bladder. This includes people with Multiple Sclerosis (MS), Parkinson's disease and spina bifida. It also could include people who have had a stroke, spinal cord injury, major pelvic surgery, diabetes or other illnesses.
Pumpkin seed extract: Research suggests this is beneficial for both nighttime urination and OAB. Magnesium hydroxide: These supplements were shown in one small study to improve symptoms of urinary incontinence and nocturia in over 50 percent of female participants.