Neurogenic bladder
The normal task of the
urinary bladder is to discharge and store urine in a controlled and coordinated
manner.This activity is regulated by the central and peripheral nervous systems.
Neurogenic bladder is a condition in which any damage with the nervous system affect the
bladder and urination. People suffered with neurogenic bladder loss
control of their bladder which prevents the bladder from emptying properly.
Symptoms
Neurogenic bladder symptoms
range from detrusor underactivity to overactivity depending on the damage with
the nervous system. The urinary sphincter also may be affected, resulting in
sphincter underactivity or overactivity and loss of sphincter coordination with
bladder function.
Urinating in small amounts,
but frequently (eight times or more per day).
Problems urinating and
fully emptying the bladder.
Urgency to urinate.
Loss of bladder control.
Symptoms of an underactive
bladder include:
Bladder filling beyond
normal capacity and leaking.
Inability to feel when
bladder is full.
Urinary retention -
which can increase the risk of urinary tract infection.
Causes
Damage of the central nervous system commonly cause neurogenic bladder. These can include:
Alzheimer
disease
Birth defects of the
spinal cord like spina bifida
Spinal cord or brain tumors
Encephalitis
Cerebral palsy
Multiple sclerosis (MS)
Stroke
Spinal cord injury
Learning disabilities
such as attention deficit hyperactivity disorder (ADHD)
Parkinson disease
Health conditions that
can result in neurogenic bladder include:
Nerve damage
(neuropathy)
Vitamin B12 deficiency
Nerve damage from a
herniated disk or spinal canal stenosis
Nerve damage due to
pelvic surgery
Nerve damage from
syphilis
Nerve damage due to
long-term diabetes
Diabetes
Depends upon the correct diagnosis by a
careful medical and voiding history, with lot of clinical examinations like urodynamics
and selective radiographic imaging
studies, results the proper therapy for neurogenic bladder and a successful
treatment.
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