Home Neurogenic bladder
Neurogenic Bladder PDF E-mail

The term NEUROGENIC BLADDER describes a form of bladder and sphincter dysfunction that is due to abnormal innervations. This means that the nerves that send messages to the bladder have been interrupted and/or are not working as they should. Congenital forms of neurogenic bladder may occur from myelomeningocele, lipomeningocele, sacral agenesis, and other abnormalities of the spine. Less frequently, traumatic lesions of the spinal cord and acquired diseases can result in a neurogenic bladder. Central nervous system tumors, cerebral palsy, and some pelvic operations can also produce a neurogenic bladder. Normal bladder function requires coordinated interaction of many parts of the nervous system. The reflex to “pee” (micturation) is a finely tuned neurological event that requires coordinated efforts of many parts of the nervous system. Any kind of damage to the system affects urination.

 

The important consequences of neurogenic bladder are loss of function and urinary incontinence. Often there are recurrent urinary tract infections, and vesicoureteral reflux.

 

Urodynamic studies, bladder x-rays, kidney ultrasounds are helpful in predicting outcomes and observing progress. Patients with a bladder that has no muscle tone (atonic) or in a patient with non-functioning sphincter muscles there is a lower risk of developing vesicoureteral reflux and kidney damage. In patients with high bladder pressure or reflux, preventative measures are vital. These may include antibiotic prophylaxis, intermittent catheterization, anticholinergic medications, and surgical intervention, depending on the severity of the symptoms and the individual patient.

 
Pediatric and Adolescent Urology, Inc Template by Ahadesign Powered by Joomla!