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Neurogenic Bladder -- Adult

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by LaRusso L

(Neurogenic Incontinence—Adult)

 

Definition

Neurogenic bladder is abnormal bladder function caused by a nerve problem. The bladder may empty too often or at the wrong time (incontinence) or the bladder may be unable to completely empty the urine (urinary retention). In this case, urine may leak out of the overfilled bladder.
Contact your doctor if you think you may have this condition. The sooner it is treated, the lower the chance of developing other serious conditions, such as a urinary tract infection.
Bladder With Nerves, Female
BJ00029 97870 1.jpg
Copyright © Nucleus Medical Media, Inc.
 

Treatment

Treatment focuses on relieving symptoms by emptying your bladder regularly.
Treatment options include:

Behavioral Therapy

  • Bladder training—setting a regular schedule to empty your bladder and drinking less fluid
  • Exercises to strengthen muscles around the bladder that help control urine flow
  • Painless electrical stimulation to help the function of bladder muscles

Catheters

A thin tube, called a catheter, can be inserted to empty the bladder. You can learn to do this yourself or a trained healthcare professional may do it for you.

Surgery

Surgery may be an option for severe cases when all other treatments fail. Surgical procedures include:
  • Removing part of the muscle that holds the bladder closed—This allows urine to flow out into a collection tube attached to the penis (for men only).
  • Inserting a tube into an opening in the abdomen—This allows urine to flow out into a collection bag.
  • Using tissue from the bowel to make the bladder larger
  • Replacing the bladder with a pouch made from sections of the bowel or other tissue
  • Inserting a small tube-like device, called a stent, into the bladder neck to allow urine to flow out.
 

RESOURCES

National Association for Continence
http://www.nafc.org

Urology Care Foundation
http://www.urologyhealth.org

 

CANADIAN RESOURCES

BC Health Guide
http://www.bchealthguide.org

Canadian Spinal Research Organization
http://www.csro.com

 

References


Morantz CA. ACOG guidelines on urinary incontinence in women. Am Fam Physician. 2000;72:175.


Nerve disease and bladder control. National Kidney and Urologic Diseases Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/nervedisease/index.htm. Updated June 29, 2012. Accessed October 18, 2012.


Neurogenic bladder. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=9. Updated January 2011. Accessed October 18, 2012.


Scientific Committee of the First International Consultation on Incontinence. Assessment and treatment of urinary incontinence. Lancet. 2000;355:2153-2158.


7/28/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mangera A, Apostolidis A, et al. An updated systematic review and statistical comparison of standardised mean outcomes for the use of botulinum toxin in the management of lower urinary tract disorders. Eur Urol. 2014;65(5):981-990.

 

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