Doctor insights on:
Hypotonic 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
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
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
It might: See below for symptoms of urethral stricture: http://www.healthline.com/health/urethral-stricture#overview1 It doesn't look like from your history you have a known urethral stricture and there are other causes for nocturia (e.g. diabetes, bladder problems) so I'd recommend assessment by a doctor licensed in your area to sort through the possibilities and order tests if needed. ...Read moreSee 1 more doctor answer
Can urethritis cause an overactive bladder? What is the difference between overactive bladder and bladder spasms?
Here are some ...: Urethritis may incite a premature urge to void so the patient may void oftener than usual; after treated, urethritis-related urgency subsides, but not OAB-related. Although OAB generates urge to void, the patient still usually can make to bathroom to void; bladder spam is usually referred to the occurrence of uninhibited bladder contraction incited by catheter or poor central nerve control, etc. ...Read more
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 moreSee 1 more doctor answer
Contracted bladder: Sometime bladder does not distend or fill to capacity related to scar tissue, infection, or neurologic issues. Sometimes chemotherapy , radiation therapy and other medications can contract the bladder with fibrosis. Certain kinds of surgery may interfere with bladder function. Sometimes early in life bladder does not develop to full capacity. ...Read more
Here are some ...: Some sandy sedimentation may appear, especially after being exposed air for 15-30 minutes through oxidation while urine is more alkaline with pH of >6.5, usually reflecting what you might have consumed. Besides changing its cloudiness, its odor will also alter to be more odorous. But, these changes is normal and harmless as long as complete urinalysis from properly collected urine specimen is okay ...Read more
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 moreSee 1 more doctor answer
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
1.Can functionality of bladder return after inability to empty bladder completely? 2.Does clamping Foley help to retrain bladder?
Possibly. : Whether bladder function can improve or not depends on the reason for the loss of function, the severity, and duration. See your urologist or a specialist in voiding dysfunction. The strategies that tend to work best involve clean intermittent catheterization, where your progress in emptying the bladder can be tracked. But ultimately, the plan should be developed based on your clinical situation. ...Read more
Confusing question: You may misunderstand something you read (online?). Bioflims contribute to many infections, sometimes a reason longer or higher dose antibiotics are needed. There is no bladder infection called "biofilm infection". If your urine culture is negative (no bacteria found), then no infection and no bacteria are causing whatever symptoms you have. Discuss w/ your doc or maybe infec disease specialist. ...Read more
Mild inflammatory stranding in mesenteric fat adj. to urinary bladder. Mild cirum. wall thickening of bladder. Bladder distended. Self cath 30 yrs. ?
I assume these are: CT findings. These mild changes are probably of no consequence, considering you have been using cath for so many years. These finding don't explain much. Depending on the severity of symptoms for which your doctor ordered these scans, your doctor might want to order further tests. ...Read more
Absolutely: Oab, also known as "gotta go, gotta go right now, " simply causes bladder spasms and the urgency to urinate. If you are able to get to a bathroom quickly, or your conscious control of your bladder muscles is strong enough, you can prevent urine loss. Typically however, oab tends to worsen over time, so the cause for your oab is important to determine. See you doctor! ...Read moreSee 1 more doctor answer
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
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