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.
The life expectancy of patients in the VS ranges from 3 to 5 years [6].
Without treatment, neurogenic bladder can cause: Urine leakage or retention. Kidney damage. Urinary tract infections.
Left untreated, neurogenic bladder can cause severe, even life-threatening, kidney damage. Fortunately, many effective options are available to help with both medical and quality-of-life concerns.
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. People with bladder control conditions such as neurogenic bladder may experience quality of life issues.
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.
Neurogenic bladder—following radical pelvic surgery
Following radical pelvic surgery is characterized by DU, poor sensation to filling, and coordinated or fixed-tone sphincter. Clinically these patients present with urinary retention or UTIs. It is not thought to be progressive.
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.
Uninhibited neurogenic bladder is most often associated with a stroke, brain tumor, spinal lesion, Parkinson or a demyelinating disease are the most common causes. Symptoms are typically frequency, urgency, and urge incontinence.
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.
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.
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.
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.
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.
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.
Neurogenic bladder involves the nervous system and the bladder. Your health care provider will conduct different tests to determine the health of both.
Characteristic symptoms of neurogenic bladder include recurrent urinary tract infections, urine leakage, overactive bladder, frequent urination, urinary retention, and underactive bladder.
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.
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.
A suprapubic catheter is an indwelling catheter that is placed directly into the bladder through the skin above the pubic bone. This catheter must be placed by a urologist during outpatient surgery or an office procedure. The tube must be changed periodically as recommended by your healthcare professional.
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.