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Doctor insights on: Hypotonic Neurogenic Bladder

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Can neurogenic bladder be cured?

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

Bladder (Definition)

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


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I have a problem of neurogenic bladder?

I have a problem of neurogenic bladder?

Neurogenic bladder: There are many varieties of neurogenic bladder. The first step is visiting a urologist for cystoscopy and urodynamic testing to attempt to determine the actual dysfunction present and potentially, its cause. ...Read more

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What are the tests for neurogenic bladder?

What are the tests for neurogenic bladder?

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

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I have a neurogenic bladder is there a cure?

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

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Is there a cure for a neurogenic bladder?

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 more

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Can a neurogenic bladder be from holding urine?

Can a neurogenic bladder be from holding urine?

Atonic Bladder: Can result from holding back urination constantly or repeatedly, but isn't very common. Over the years have seen a couple of patients who developed atonic bladders from chronic suppression of urge to urinate. They essentially became neurogenic bladders & had to manage bladder emptying by self clean intermittent catheterization. However, strictly speaking you cannot develop NB by holding urine ...Read more

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My brother has a neurogenic bladder. Is there a cure for this?

My brother has a neurogenic bladder. Is there a cure for this?

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 more

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I have a neurogenic bladder. Is there a cure for this type of? Condition?

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

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What are? Treatments for? Neurogenic bladder?

Possibly: If the onset is very recent and is due to nerve compression that can be reversed it may be curable with surgery. An example is an acute lumbar disc herniation that causes neurogenic bladder. 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 and may include self catheterization. ...Read more

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What's a neurogenic bladder?

What's a neurogenic bladder?

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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What causes a neurogenic bladder?

Damaged or no nerves: Between brain and bladder. Some children born with spina bifida & myelomeningocele & other spinal abnormalities or cerebral palsy have congenital neurogenic bladder. Spinal cord injuries or tumors, transverse myelitis, brain tumors or injuries, multiple sclerosis, diabetes can all cause nb. Basically, any interruption, of sensory or motor nerve impulses to or from bladder &/or sphincter cause a nb. ...Read more

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Do a lot of people get neurogenic bladder?

Do a lot of people get neurogenic bladder?

Quite a lot: Many people born with spina bifida and cerebral palsy also have nb. People with spinal cord injuries and paraplegia, severe multiple sclerosis ANS some with longstanding diabetes can all develop nb. ...Read more

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Please explain what is a neurogenic bladder?

Please explain what is a neurogenic bladder?

Nerves: Patients with spinal cord injuries, nerve injuries from surgery or other problems can experience loss of urine control from denervation of the bladder. Very difficult to treat, but important to know prior to intervention. Urodynamic testing usually can make the diagnosis. ...Read more

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What are the major symptoms of neurogenic bladder?

What are the major symptoms of neurogenic bladder?

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 more

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What is the definition or description of: Neurogenic bladder?

What is the definition or description of: Neurogenic bladder?

Here is...: A form of dysfunction of urinary bladder and urinary sphincter leading to poor urine flow, urinary urgency or stress urinary incontinence, poor bladder emptying, an upset patient. Its causes may be spinal cord injury by accident or surgery or certain diseases like stroke, MS, diabetes, etc. ...Read more

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I have neurogenic bladder problem. How can I make my life easier?

I have neurogenic bladder problem. How can I make my life easier?

Difficult to treat: This is a nerve problem regarding the bladder & can be difficult to treat. There are medications available to help with this problem as well as interstim therapy. See a urologist or urogynecologist. ...Read more

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How do you help one who is wheel chair bound and has a neurogenic bladder.?

How do you help one who is wheel chair bound and has a neurogenic bladder.?

To self sufficiency: Most wheel chair bound paraplegics crave independence, many quads do as well, but this is harder to acheive. Thus help subject to become independent. Hopefull subject can learn to perform self intermittent catheterization, via urethra or cutaneous catheterizable stoma from wheel chair. To transfer to toilet or commode for bms & by digital stimulation, suppositories, or enemas. Accompany to rehab visits. ...Read more

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Have neurogenic bladder. I currently in trial phase of sacral stimulation. Last week my symptoms were perfect, today I again felt retention, why is that?

Have neurogenic bladder. I currently in trial phase of sacral stimulation. Last week my symptoms were perfect, today I again felt retention, why is that?

InterStim Adjustment: During the trial phase of interstim, some adjustments may be necessary. It is possible for the lead to move a little bit, which can alter the effectiveness of the nerve stimulation. You should call the device rep and ask them to help you adjust which position on the lead is stimulated and/or change the stim amplitude. ...Read more

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Do fibriod tumors? Affect a? Neurogenic bladder?

Do fibriod tumors? Affect a? Neurogenic bladder?

Sure: However, this usually involves stress incontinence from the fibroids pushing down on the bladder if they are located just behind the bladder. Neurogenic bladder is its own problem. ...Read more

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How do you treat a UTI with a neurogenic bladder?

How do you treat a UTI with a neurogenic bladder?

Same: urinary tract infections are treated with antibiotics other one has a normal bladder or an overactive bladder or a neurogenic bladder. since neurogenic bladder's often are symptomatic when no infection is present, it is especially important to have a urine culture prior to anabiotic therapy ...Read more

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Can neurogenic bladder be cured after back surgery?

Can neurogenic bladder be cured after back surgery?

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 more

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With? Multiple sclerosis what can be done for a? Neurogenic bladder?

Variable: A neurogenic bladder can be irritable, causing urgency incontinence, or flaccid resulting in inability to pass urine, and often bladder problems are very complex. A urology evaluation can often point the way to appropriate medicines. However, best to rule out infection as this can cause many bladder problems. ...Read more

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Could urologist subscribe a mendicine for neurogenic bladder dysfunction?

Could urologist subscribe a mendicine for neurogenic bladder dysfunction?

Surely: Since there are many variations of types of neurogenic bladders, cystometric examination will help categorize, and point the way for successful medication intervention. ...Read more

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Though having neurogenic bladder I lost only some functions. Doctor says I am a good candidate for neurostimulation. Will I be benefited from it?

Though having neurogenic bladder I lost only some functions. Doctor says I am a good candidate for neurostimulation. Will I be benefited from it?

Probably not: Interstim device by medtronics is not indicated, nor approved for neurogenic bladder dysfunction. Is approved for treatment of urinary retention & symptoms of overactive bladder such as urge incontinence & urinary urgency-frequency. Use for neurogenic indications would be strictly off label & surgeon should have informed u. Suggest u consult neurourologist at johns hopkins, as u live in baltimore. ...Read more

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Hello doctors, can a urologist subscribe a medicine for neurogenic bladder dysfunction?

Not on healthtap: The doctor who made that diagnosis should prescribe the appropriate medicine and dosage. The cause of the neurogenic bladder, the presence and amount of residual urine and other factors are to be considered. It is not just "get a prescripyion".Good luck. ...Read more

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Havng my neuromodulation trial this thursday for neurogenic bladder. Doctor says 50-50 chance of improvement. How long will take feeling improvement?

Depends on type: Of neurogenic bladder dysfunction. John's hopkins department of urology, located in you home town, is one of the world's best urology departments. Would accept their prognosis, if yiou went there, otherwise could always go there for a second opinion. ...Read more

Dr. Gael Yonnet
116 Doctors shared insights

Neurogenic Bladder (Definition)

A form of dysfunction of urinary bladder and urinary sphincter leading to poor urine flow, urinary urgency or stress urinary incontinence, poor bladder emptying, an upset patient. Its causes may be spinal cord injury by accident or surgery or certain diseases like ...Read more