Neurogenic bladder
What is Neurogenic Bladder?
Neurogenic bladder is a condition where there is a disruption in the normal communication between the brain and the bladder, leading to impaired bladder function. This condition can be caused by various neurological disorders affecting the central or peripheral nervous system.
Common Symptoms of Neurogenic Bladder
Recognizing the signs of neurogenic bladder is crucial for early diagnosis and effective management.
- Urinary Incontinence: Involuntary leakage of urine.
- Urinary Retention: Inability to empty the bladder fully.
- Frequency: The need to urinate more often than usual.
- Urgency: Sudden, compelling urges to urinate.
- Recurrent Urinary Tract Infections (UTIs): Due to incomplete emptying of the bladder.
Causes and Risk Factors
Understanding the underlying neurological conditions contributing to neurogenic bladder helps tailor appropriate treatment plans.
- Spinal Cord Injury: Damage to the spinal cord disrupts nerve signals.
- Multiple Sclerosis (MS): A progressive autoimmune disease affecting the central nervous system.
- Stroke: Disruption of blood flow to the brain can affect bladder control.
- Parkinson's Disease: A degenerative disorder affecting movement and coordination.
- Diabetes: Long-term diabetes can lead to peripheral nerve damage.
Treatment Options
Effective management of neurogenic bladder involves addressing the underlying neurological condition and optimizing bladder function.
- Catheterization: Intermittent or indwelling catheters to manage urinary retention.
- Medications: To relax or stimulate bladder muscles based on symptoms.
- Botulinum Toxin Injections: To temporarily paralyse overactive bladder muscles.
- Nerve Stimulation: Techniques to modulate nerve signals and improve bladder function.
- Surgery: In some cases, surgical interventions may be considered.
