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Neurogenic Bladder

 

What is neurogenic bladder?

Neurogenic bladder is a condition where there is a problem with the nerves that control the bladder, leading to issues with bladder function. This condition can cause the bladder to either become overactive (spastic) or underactive (flaccid), resulting in various urinary symptoms and complications.

What causes a neurogenic bladder?

There are a variety of conditions that can create a neurogenic bladder–a bladder in which the nerves and muscles required to control bladder emptying don’t work well together. For those born with the condition, birth defects such as spina bifida and cerebral palsy can often cause it. Other conditions, such as spinal cord injuries or back surgeries, accidents, strokes, Parkinson’s disease, diabetes, and multiple sclerosis (MS) can also lead to the disorder.

What are the symptoms of a neurogenic bladder?

Individuals with a neurogenic bladder are often unable to control their urination, due to disruptions in the nervous system because of injury or congenital conditions. Since the nerves and muscles in a neurogenic bladder don’t communicate the way they should, those with this disorder typically experience an overactive or underactive bladder. Some individuals can even experience both.

In addition to weak bladder control, you may also experience:

  • Frequent urination
  • Painful urination
  • Bladder leakage (incontinence)
  • A weak urine stream
  • Urinary retention
  • Obstructive bladder (inability to empty the bladder at all)

How do you treat a neurogenic bladder?

While a neurogenic bladder can’t be cured, it can be managed.

The trusted providers at The Iowa Clinic may recommend lifestyle changes, such as avoiding certain foods or voiding techniques; catheterization; medications; Botox injections; or surgical procedures, such as bladder augmentation. It’s important that you communicate with your provider so that the treatment used is the best fit for you and your lifestyle.