Neurogenic Bladder – Treatments and Therapies

What is Neurogenic Bladder? – Neurogenic bladder, also known as neurogenic bladder dysfunction, is characterized as the distorted function of the urinary bladder mainly caused by ceribro-spinal and neurological disorders.

Main cause of Neurogenic Bladder Dysfunction – An intricate network of nerves and muscles function together for the timely discharge of urine. The nerves form a delicate system allowing an interactive dialogue between the excretory system and brain. Sensory impulses travel back and forth between brain and the muscles or nerves lining the bladder carrying instruction for release of the waste. Any disruption in carriage of these messages or improper functioning of the bladder muscles conduce neurogenic bladder dysfunction.

Disorders of the central nervous system that induce Neurogenic Bladder

  • Multiple Sclerosis
  • Inborn defects of Central Nervous System
  • Tumors in brain or Spinal Cord
  • Parkinson’s Disease
  • Cerebral Palsy
  • Alzheimer’s Disease
  • Alcoholic or Diabetic neurology.

Symptoms to detect Neurogenic bladder

  1. The primary symptom is Urinary Incontinence.
  2. The patient can have an overactive bladder.
  3. Uncontrollable urge to micturate (urinate) frequently.
  4. Sudden urgency to urinate right after releasing urine in large amounts.
  5. Nocturia or staying up at night to urinate repeatedly.
  6. Under active bladder might also be a problem.
  7. Inability to retain urine in the bladder and subsequently failing to realize when it is full.
  8. Unconscious or involuntary urination.

Treatments and therapies for Neurogenic bladder

  • It is ideal to resort to natural therapies. Exercises that involve contraction and relaxation of bladder muscles. Kegel exercise is prescribed by several doctors. Other Pelvic floor exercises are also effective.
  • Medicines like tolterodine and propantheline that relax bladder muscles.
  • Medicines that catalyze nerve activity.
  • Creation of Stroma (an opening). With the help of this urine flows into a special pouch. This process is termed as urinary diversion.
  • Sometimes an electronic device might be implanted near the bladder ensuing electrical stimulation that helps to improve the severity of the condition.
  • Sling surgery or artificial Sphincter implantation could also be few feasible ways out.