Doctor insights on:
Can Neurogenic Bladder Be Cured
Managed yes: Nb is a permanent condition. Tempoary neurogenic-like symptoms can be present with bruising or compression of spinal cord, spinal meningitis or multiple sclerosis. A chinese physician has reported some success in curing some cases of nb by splicing normal nerves to bladder nerves. Otherwise considered not curable and treated by intermittent catheterization, artificial urinary sphincter implant etc. ...Read more
The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more
Perhaps: If the etiology of the neurogenic bladder is cord or nerve compromise (such as severe stenosis, herniated disc, or other compression), then decompression of the nerves will lead to functional improvement, so long as the nerve compromise has not been lasting and neurovascular compromise has not taken effect. ...Read moreSee 1 more doctor answer
Essentially no.: Bruising of spinal cord can cause temporary neurogenic bladder which resolves spontaneously. Occasional cure has been reported by nerve transfer and anastomosis and is a possible hope for the future. Urinary incontinence can be managed in most cases by intermittent catheterization, with or without medication, artificial urinary sphincters, bladder augmentation or urinary diversions etc. ...Read more
It is treatable: The first line agents to manage neurogenic bladder, or more specifically, detrusor overactivity, are anticholinergic medications such as oxybutinin or tolterodine. Ultimately, if no benefit is gained from these medications, a trial of onabotulinumtoxina (botox) injections in the bladder wall may be tried and has been found to control the symptoms of incontinence for up to a year. ...Read moreSee 2 more doctor answers
Unfortunately not : There are a number of management/treatment options for neurogenic bladder, but no actual cure. We can help may patients with medication to increase bladder capacity, relax or tighten urinary sphincter with or without intermittent catheterization. Can also enlarge bladder capacity surgically with an intestinal augmentation cystoplasty or manage incontinence with an artificial urinary sphincter. ...Read moreSee 1 more doctor answer
Possibly: If the onset is very recent and is due to nerve compression that can be reversed it may be curable. An example is an acute lumbar disc herniation that is treated quickly with surgery. If the condition is chronic it is less likely to respond to treatment though it still may. In chronic cases treatment usually focuses on managing the problem. ...Read more
Urodynamics: Urodynamics refers to the process of testing the bladder for its ability to accommodate filling, the pressure at which it does so, symptoms that filling may cause as well as evaluating flow rate and leakage, if any. This can be done in a relatively simple fashion in the office, or in a more sophisticated clinic setting with video and fluoroscopic information added to the basic information above. ...Read more
Neurogenic Bladder: Symptoms of overactive bladder: having to urinate too often in small amounts problems emptying all the urine from the bladder loss of bladder control symptoms of underactive bladder: bladder becomes too full and you may leak urine. Inability to tell when the bladder is full problems starting to urinate or emptying all the urine from the bladder urinary retention. ...Read moreSee 2 more doctor answers
Bladder dysfunction: Due to lack of control &/or sensation of bladder or urinary sphincter function caused by diseases of brain, spinal cord or peripheral nerves. Congenital as in subjects with spina bifida and meningomyelocele, or acquired as in spinal cord injury, multiple slerosis etc. Can cause urinary incontinence from sphincter non-function or storage failure or inability to initiate urination (urinary retention. ...Read more
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