This nerve damage can be the result of diseases such as multiple sclerosis (MS), Parkinson's disease or diabetes. It can also be caused by infection of the brain or spinal cord, heavy metal poisoning, stroke, spinal cord injury, or major pelvic surgery.
There are several classification systems for neurogenic bladder, including functional systems, urodynamic classifications, the Bors-Comarr classification (useful primarily for spinal cord injuries only), the Hald-Bradley system, and the Bradley classification, among others.
Medicine for Neurogenic Bladder
Your health care provider may suggest: Overactive bladder medicines that relax the bladder such as oxybutynin, tolterodine, or solifenacin, as well as mirabegron. Bladder muscle injections to relax the bladder, such as injection of Botulinum toxin.
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.
Neurogenic bladder is bladder dysfunction (flaccid or spastic) caused by neurologic damage. Symptoms can include overflow incontinence, frequency, urgency, urge incontinence, and retention. Risk of serious complications (eg, recurrent infection, vesicoureteral reflux, autonomic dysreflexia) is high.
Neurogenic bladder is also known as neuropathic bladder. Urinary system muscles and nerves work together to hold urine in the bladder and then release at the appropriate time. Nerves carry messages from the bladder to the brain and from the brain to the muscles of the bladder to signal a release or tightening.
Condom catheters are an option for male neurogenic bladder patients who have incontinence or use reflex voiding/bladder expression. As a non-indwelling catheter, condom catheters may appear safe and to have lower rates of urinary tract infection (UTI), the most common catheter-associated infection.
Central control of micturition is performed by 3 areas: the sacral micturition center, the pontine micturition center, and the cerebral cortex. The sacral micturition center is located at the S2-S4 levels and is responsible for bladder contraction.
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.
These treatments include sacral neuromodulation (SNS) therapy and percutaneous tibial nerve stimulation (PTNS). They're often used when medications and lifestyle changes can't manage neurogenic bladder symptoms. Both of these techniques involve connecting devices to nerves that affect bladder control.
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.
You can do this by squeezing your pelvic floor muscles during the day or when you need to pee (Kegel exercises). Hold it, if you can. Delayed voiding is when you wait a few minutes to urinate after you feel the urge. The goal is to extend this time to a few hours.
If untreated, a neurogenic bladder can cause renal failure and urinary incontinence. Patients with a neurogenic bladder should be monitored, and management should aim to preserve renal function and achieve social continence.
Prevention. While most cases of neurogenic bladder cannot be prevented, people with diabetes may be able to delay or avoid the problem by carefully controlling their blood sugar levels over the long-term.
Introduction: Neurogenic bladder (NB) is a recognized secondary medical impairment following spinal cord injury (SCI). Ultrasound (US) of the kidneys, ureters and bladder (KUB) has been recommended as a useful, non-invasive surveillance method with good diagnostic sensitivity.
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.
Cystoscopy. Your healthcare provider puts a thin, flexible tube and viewing device in through the urethra to examine the urinary tract. It checks for structure changes or blockages, such as tumors or stones. Tests that involve filling the bladder, such as urodynamics.
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.
Pelvic parasympathetic nerves: arise at the sacral level of the spinal cord, excite the bladder, and relax the urethra.
Thus, it is possible to restore bladder function by transferring intercostal or lumbar nerves within the vertebral canal and dura to sacral ventral roots innervating the bladder.