Neurogenic Bladder
Neurogenic bladder describes bladder dysfunction caused by problems with the nerves controlling urination. Causes include spinal cord injury, stroke, multiple sclerosis, and diabetes.
Quick Facts
- ICD-10: N31
- Causes: Nerve damage to bladder control
Symptoms
- Urinary incontinence (overactive type)
- Urinary retention (underactive type)
- Frequent urinary tract infections
- Difficulty starting urination
- Sensation of incomplete emptying
Causes
- Spinal cord injury
- Multiple sclerosis
- Stroke
- Diabetic neuropathy
- Parkinson's disease
- Spina bifida
- Brain or spine tumors
Diagnosis
- Voiding diary
- Urinalysis and culture
- Post-void residual ultrasound
- Urodynamic testing
- Imaging of bladder and kidneys
Treatment
- Timed voiding
- Clean intermittent catheterization
- Medications (anticholinergics for overactivity; alpha-blockers for outlet issues)
- Botox injections to the bladder
- Sacral nerve stimulation
- Surgery in selected cases
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- American Urological Association. Neurogenic Bladder Guidelines.