Individualized: There are different types of neurogenic bladder. Common causes might be multiple sclerosis, spinal cord injury or stroke. In general, the bladder's function is to store and void urine, both of which can be disrupted. Goals of treatment should be to allow low pressure storage of urine and adequate emptying at a convenient time. Self catherization and medication are often used to accomplish this.
Answered 2/23/2014
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See answer below: The treatments are different depending on whether one has an areflexic or an overactive bladder. Bethanechol is a first line treatment for an areflexic bladder. Anticholinergic therapies such as oxybutinin, tolterodine, trospium, solifenacin, are used in the management of an overactive bladder. Botox can also be used as a second line agent for the management of neurogenic detrusor overactivity.
Answered 6/24/2014
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