Learn About Neurogenic Bladder

What is the definition of Neurogenic Bladder?

Neurogenic bladder is a problem in which a person lacks bladder control due to a brain, spinal cord, or nerve condition.

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What are the alternative names for Neurogenic Bladder?

Neurogenic detrusor overactivity; NDO; Neurogenic bladder sphincter dysfunction; NBSD

What are the causes of Neurogenic Bladder?

Several muscles and nerves must work together for the bladder to hold urine until you are ready to empty it. Nerve messages go back and forth between the brain and the muscles that control bladder emptying. If these nerves are damaged by illness or injury, the muscles may not be able to tighten or relax at the right time.

Disorders of the central nervous system commonly cause neurogenic bladder. These can include:

  • Alzheimer disease
  • Birth defects of the spinal cord, such as spina bifida
  • Brain or spinal cord tumors
  • Cerebral palsy
  • Encephalitis
  • Learning disabilities such as attention deficit hyperactivity disorder (ADHD)
  • Multiple sclerosis (MS)
  • Parkinson disease
  • Spinal cord injury
  • Stroke

Damage or disorders of the nerves that supply the bladder can also cause this condition. These can include:

  • Nerve damage (neuropathy)
  • Nerve damage due to long-term, heavy alcohol use
  • Nerve damage due to long-term diabetes
  • Vitamin B12 deficiency
  • Nerve damage from syphilis
  • Nerve damage due to pelvic surgery
  • Nerve damage from a herniated disk or spinal canal stenosis
What are the symptoms of Neurogenic Bladder?

The symptoms depend on the cause. They often include symptoms of urinary incontinence.

Symptoms of overactive bladder may include:

  • Having to urinate too often in small amounts
  • Problems emptying all the urine from the bladder
  • Loss of bladder control

Symptoms of underactive bladder may include:

  • Full bladder and possibly urine leakage
  • Inability to tell when the bladder is full
  • Problems starting to urinate or emptying all the urine from the bladder (urinary retention)
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What are the current treatments for Neurogenic Bladder?

Medicines may help manage your symptoms. Your health care provider may suggest:

  • Medicines that relax the bladder (oxybutynin, tolterodine, or propantheline)
  • Medicines that make certain nerves more active (bethanechol)
  • Botulinum toxin
  • GABA supplements
  • Antiepileptic drugs

Your provider may refer you to someone who has been trained to help people manage bladder problems.

Skills or techniques you may learn include:

  • Exercises to strengthen your pelvic floor muscles (Kegel exercises)
  • Keeping a diary of when you urinate, the amount you urinated, and if you leaked urine. This may help you learn when you should empty your bladder and when it may be best to be near a bathroom.

Learn to recognize the symptoms of urinary infections (UTIs), such as burning when you urinate, fever, low back pain on one side, and a more frequent need to urinate. Cranberry tablets may help prevent UTIs.

Some people may need to use a urinary catheter. This is a thin tube that is inserted into your bladder. You may need a catheter to be:

  • In place all the time (indwelling catheter).
  • In your bladder 4 to 6 times a day to keep your bladder from becoming too full (intermittent catheterization).

Sometimes surgery is needed. Surgeries for neurogenic bladder include:

  • Artificial sphincter
  • Electrical device implanted near the bladder nerves to stimulate the bladder muscles
  • Sling surgery
  • Creation of an opening (stoma) in which urine flows into a special pouch (this is called urinary diversion)

Electrical stimulation of the tibial nerve in the leg may be recommended. This involves placing a needle into the tibial nerve. The needle is connected to an electrical device that sends signals to the tibial nerve. The signals then travel up to the nerves in the lower spine, which control the bladder.

Who are the top Neurogenic Bladder Local Doctors?
Elite
Highly rated in
23
conditions
Urology
General Surgery

Medical University of South Carolina Health System

East Cooper Medical Pavilion

1600 Midtown Ave 
Mount Pleasant, SC 29464

Eric Rovner is an Urologist and a General Surgeon in Mount Pleasant, South Carolina. Dr. Rovner has been practicing medicine for over 31 years and is rated as an Elite doctor by MediFind in the treatment of Neurogenic Bladder. He is also highly rated in 23 other conditions, according to our data. His top areas of expertise are Urinary Incontinence, Stress Urinary Incontinence, Neurogenic Bladder, and Urinary Tract Infection. He is licensed to treat patients in South Carolina. Dr. Rovner is currently accepting new patients.

Elite
Highly rated in
22
conditions
Urology

Michigan Medicine

Urology Clinic - Taubman Center

1500 E Medical Center Dr 
Ann Arbor, MI 48109

John Stoffel is an Urologist in Ann Arbor, Michigan. Dr. Stoffel has been practicing medicine for over 25 years and is rated as an Elite doctor by MediFind in the treatment of Neurogenic Bladder. He is also highly rated in 22 other conditions, according to our data. His top areas of expertise are Neurogenic Bladder, Urinary Incontinence, Urinary Tract Infection, and Bladder Outlet Obstruction. He is licensed to treat patients in Michigan and Massachusetts. Dr. Stoffel is currently accepting new patients.

 
 
 
 
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Elite
Highly rated in
37
conditions
Urology

Penn Medicine

Perelman Center For Advanced Medicine

3400 Civic Center Blvd 
Philadelphia, PA 19104

Alan Wein is an Urologist in Philadelphia, Pennsylvania. Dr. Wein has been practicing medicine for over 56 years and is rated as an Elite doctor by MediFind in the treatment of Neurogenic Bladder. He is also highly rated in 37 other conditions, according to our data. His top areas of expertise are Neurogenic Bladder, Urinary Incontinence, Stress Urinary Incontinence, and Bladder Outlet Obstruction. He is licensed to treat patients in Pennsylvania. Dr. Wein is currently accepting new patients.

What are the support groups for Neurogenic Bladder?

If you are having urinary incontinence, organizations are available for further information and support.

What are the possible complications of Neurogenic Bladder?

Complications of neurogenic bladder may include:

  • Constant urine leakage that can cause skin to break down and lead to pressure sores
  • Kidney damage if the bladder becomes too full, causing pressure to build up in the tubes leading to the kidneys and in the kidneys themselves
  • Urinary tract infections
When should I contact a medical professional for Neurogenic Bladder?

Call your provider if you:

  • Are unable to empty your bladder at all
  • Have signs of a bladder infection (fever, burning when you urinate, frequent urination)
  • Urinate small amounts, frequently
Voiding cystourethrogram
What are the latest Neurogenic Bladder Clinical Trials?
Qualitative Assessment of the Impact of the Connected Catheter on Quality of Life and Participation
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Injections of Botulinum Toxin A or Anticholinergic Treatment as First Line Therapy to Treat Neurogenic Overactive Bladder in Patients With Multiple Sclerosis
What are the Latest Advances for Neurogenic Bladder?
Chronic sacral neuromodulation for pelvic floor dysfunction in children with spina bifida.
Role of Probiotics for Recurrent UTIs in the Twenty-First Century: a Systematic Review of Literature.
Tired of the same old research?
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Pelvic floor muscle training in multiple sclerosis patients with lower urinary tract dysfunction: A systematic review and meta-analysis.
Who are the sources who wrote this article ?

Published Date : June 23, 2020
Published By : Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Chapple CR, Osman NI. The underactive detrusor. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 118.

Goetz LL, Klausner AP, Cardenas DD. Bladder dysfunction. In: Cifu DX, ed. Braddom's Physical Medicine and Rehabilitation. 5th ed. Philadelphia, PA: Elsevier; 2016:chap 20.

Panicker JN, DasGupta R, Batla A. Neurourology. In: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 47.