Neurogenic bladder is the loss of normal bladder function caused by damage to part of the nervous system.
Neurogenic bladder is the loss of normal bladder function caused by damage to part of the nervous system. The damage can cause the bladder to be underactive, in which it is unable to contract and unable to empty completely, overactive, in which it contracts to frequently without being able to be inhibited or inability to coordinate bladder contractions with sphincter relaxation (Detrusor Sphincter Dysnergey or DSD).
• Risk factors for neurogenic bladder include various birth defects, which adversely affect the spinal cord and function of the bladder, including spina bifida or sacral agenesis and other spinal cord abnormalities. Tumors within the spinal cord or pelvis may also disrupt normal nervous tissue function and place an individual at risk. Traumatic spinal cord injury is also a major risk factor for development of neurogenic bladder.
• Inability to control urination, also known as urinary incontinence.
• A dribbling urinary stream, straining during urination or inability to urinate.
• Urinary retention
• Repeated Urinary tract infections (UTIs) or new findings of hydronephrosis (dilation of the kidneys).
• Increased bladder pressures .Patients with increased bladder pressures are at an increased risk for UTIs and pyelonephritis along with kidney damage and even failure secondary to long standing high pressures.
• Stones caused by the stoppage of urine flow and/or infection.
• Abnormal backup of urine from the bladder to the kidney(s), also known as vesicoureteral reflux (VUR), may develop as a means of releasing high pressure within the bladder. A UTI is of particular concern as VUR may place the patient at significant risk for a severe kidney infection by transporting infected bladder urine directly to the kidney(s).