Neurogenic bladder

Neurogenic bladder-urethral dysfunction is a functional disorder of the bladder and/or urethra from neural lesions or damage, often with incoordination of bladder-urethral function. It causes complex voiding symptoms; poor voiding or retention are common, and the urinary complications that follow are the main cause of death.

Common Symptoms

Enuresis; frequency; areflexic detrusor; upper-tract structural/functional damage; anuria; detrusor hyperreflexia; poor voiding; incontinence; urgency

Causes

(1) Cerebrovascular disease: hypertensive intracranial hemorrhage, atherosclerotic infarction, cerebral embolism, intracranial arteritis, subarachnoid hemorrhage, vascular malformation and basilar aneurysm rupture, intracranial hemorrhage being commonest. Neural tracts controlling the detrusor and external sphincter share pathways with somatic sensory/motor nerves.

Treatment

Catheterization, medication, bladder training, surgery

Prevention

Manage underlying neurologic disease and prevent retention and infection.

Recommended Department

It is recommended to visit the nephrology department; before the visit you may first book an appointment and connect with experts through this platform.

Warm reminder: The above information is provided for health education reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek care at a regular hospital in time.