Orange County Neurology Medical Center
Neurologist - Brain Injury - Nerve Damage - Neurological Disorders
"Financial issues will never be an obstacle while providing our community with necessary treatment, empathy, and betterment."
What is neurogenic bladder?
What are some risk factors for neurogenic bladder?
What are the symptoms of neurogenic bladder?
Symptoms including a dribbling urinary stream, straining during urination or inability to urinate may also be associated with neurogenic bladder. Urinary retention may result either from loss of bladder muscle contracting performance or loss of appropriate coordination between the bladder muscle and the external urethral sphincter muscle.
Irritating symptoms, such as urinary frequency and urgency, may be evidence of bladder hyperactivity. Other irritating symptoms may include painful urination (dysuria), which may be a result of a urinary tract infection (UTI) caused by urine being held too long in the bladder. UTI with fever is a sign of potential severe kidney infection (pyelonephritis) and is a more worrisome situation as it may result in permanent damage of the kidney(s).
Stones may also form in the urinary tract of individuals with a neurogenic bladder caused by the stoppage of urine flow and/or infection.
Abnormal backup of urine from the bladder to the kidney(s), also known as vesicoureteral reflux (VUR), may develop as a means of releasing high pressure within the bladder. A UTI is of particular concern as VUR may place the patient at significant risk for a severe kidney infection by transporting infected bladder urine directly to the kidney(s).
How is neurogenic bladder diagnosed?
How is neurogenic bladder treated?
Clean intermittent catheterization (CIC) was developed by Dr. Jack Lapides in the early 1970s as a means of emptying the bladder in the case of a bladder muscle that is unable to contract or in patients with loss of appropriate coordination between the bladder muscle and the external urethral sphincter muscle.
Surgical cutting of the external urethral sphincter with the use of an endoscope passed through the urethra may allow free flow of urine into an appropriate receptacle and eliminate the need for CIC in order to empty the bladder. Also, endoscopic injection of paralytic agents directly into the external urethral sphincter muscle is another technique that provides temporary relief.
Permanent stents can also be used in the bladder neck for effective urinary transportation.
What can be expected after treatment for neurogenic bladder?
Although some characteristics of the neurogenic bladder may improve or resolve, most issues typically require constant attention and reevaluation.
Proactive management of patients with a neurogenic bladder may decrease the risk of damage to the bladder and kidney(s) and, therefore, potentially limit the need for future intervention. This has been shown in management of neurogenic bladder patients with spina bifida.
Frequently asked questions:
What is the likelihood that my child with spina bifida will develop neurogenic bladder?
What are expected limitations for a patient with neurogenic bladder?
Can the effects of a neurogenic bladder be prevented?
Neurology Medical Center of South Orange County California serves patients in all South Orange County Communities including
Aliso Viejo, Capistrano Beach, Corona Del Mar, Costa Mesa, Dana Point, East Irvine, El Toro, Foothill Ranch, Irvine,
Ladera Ranch, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Newport Beach, Newport Coast, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Silverado, Trabuco Canyon and Tustin.
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