Doctor insights on:
Pregnancy Neurogenic Bladder
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.
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
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.
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.
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.See 2 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
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.
Surely: Since there are many variations of types of neurogenic bladders, cystometric examination will help categorize, and point the way for successful medication intervention.
Yes s/he can: Can also manage your neurogenic bladder dysfunction.
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.See 1 more doctor answer
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.
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.
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.See 2 more doctor answers
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.
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 urineSee 1 more doctor answer
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.See 1 more doctor answer
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
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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- Neurogenic bladder
- Flaccid neurogenic bladder
- Hypotonic neurogenic bladder
- Is there a cure for a neurogenic bladder?
- Atonic neurogenic bladder
- Signs and symptoms of neurogenic bladder
- Can neurogenic bladder be cured?
- Alternative treatments for neurogenic bladder
- Neurogenic bladder pathophysiology