In people with neurogenic bladder, the nerves and muscles don't work together very well. As a result, the bladder may not fill or empty correctly. With overactive bladder (OAB), muscles may be overactive and squeeze more often than normal and before the bladder is full with urine.
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.
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.
Neurogenic Bladder, also known as Neurogenic Lower Urinary Tract Dysfunction, is when a person lacks bladder control due to brain, spinal cord or nerve problems.
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.
The life expectancy of patients in the VS ranges from 3 to 5 years [6].
Injections with botulinum toxin (Botox®) are used to help patients who have overactive bladder because of a brain or spinal cord disease or injury. You and your health care provider will decide if this is right for you.
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.
Complications of neurogenic bladder may include: Constant urine leakage that can cause skin to break down and lead to pressure sores. Kidney damage if the bladder becomes too full, causing pressure to build up in the tubes leading to the kidneys and in the kidneys themselves. Urinary tract infections.
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.
Characteristic symptoms of neurogenic bladder include recurrent urinary tract infections, urine leakage, overactive bladder, frequent urination, urinary retention, and underactive bladder.
The most common symptom of neurogenic bladder is being unable to control urination. Other neurogenic bladder symptoms include: A weak or dribbling urinary stream. Frequent urination (urinating eight or more times daily).
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.
Overview. Overactive bladder, also called OAB, causes a frequent and sudden urge to urinate that may be difficult to control. You may feel like you need to pass urine many times during the day and night, and may also experience unintentional loss of urine (urgency incontinence).
A urologist or urogynecologist can diagnose and treat neurogenic bladder. The symptoms of neurogenic bladder may resemble those of other conditions and medical problems.
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.
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.
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.
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.
Neurogenic bladder is a problem in which a person lacks bladder control due to a brain, spinal cord, or nerve condition.
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.
We can't prevent most cases of neurogenic bladder. But if you have diabetes, we can help you delay or avoid the problem by helping you control blood sugar levels over the long-term.