The following medical conditions increase your chance of developing neurogenic bladder. If you have any of these risk factors, tell your doctor.
Nerve or spinal cord conditions present since birth (such as
spina bifida or spinal cord tumor
Symptoms may include:
Dribbling urine stream
Straining during urination
Inability to urinate (urinary retention)
Overflow of urine from a full bladder
Your doctor will ask about your symptoms and medical history, and perform a physical exam. You may be asked to keep a diary of how often you empty your bladder and other urinary habits. If your doctor thinks that your symptoms may be caused by a nerve problem, you may have some of the tests described below. You may also be referred to a urologist for further evaluation and treatment.
Tests may include the following:
Urinalysis—test of the urine to look for evidence of infection or kidney problems
Blood tests—to look for evidence of kidney problems
Bladder function tests—to measure how well the muscles of the bladder respond to filling and emptying
Imaging tests of the kidneys, ureters, and bladder, such as:
—usually with contrast material injected into a vein
—a test that uses sound waves to examine the kidneys, ureters, and/or bladder
Magnetic resonance imaging (MRI)
—the use of powerful magnets and radio waves to create images of the brain and/or spinal cord; other imaging tests may be used.
Urodynamics—to test the function of the nerves and muscles of the bladder
Treatment focuses on relieving symptoms by emptying your bladder regularly.
Treatment options include:
Bladder training—setting a regular schedule for emptying your bladder and drinking less fluid
Exercises to strengthen muscles around the bladder that help control urine flow
Painless electrical stimulation to aid the function of bladder muscles
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 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—This allows urine to flow out.
While most cases of neurogenic bladder cannot be prevented, people with diabetes may be able to delay or avoid the problem by carefully controlling their blood sugar levels over the long-term. Also, wearing seat belts and avoiding activities that increase the risk of spinal cord injuries will prevent neurogenic bladder from this cause.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a