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Neurogenic Bladder
  • The job of a urinary bladder is to store and expel urine in a controlled and coordinated way
  • One type of bladder malfunction can be caused by a neurological disorder or injury
  • Your bladder may empty too frequently, not enough, or unpredictably
  • The urinary sphincters may also work incorrectly
Depending on the location of the neurological disorder in the brain, spinal cord, or peripheral nerves, and the extent of the disease or injury will determine the way your bladder and sphincters react. A successful outcome usually depends on accurate diagnosis, proper medication, and intermittent catheterization. Fluid management, behavioral techniques, and special exercises can be important in controlling symptoms as well.
Understanding Neurogenic Bladder PDF (892 KB - 34 pages)
¿Qué es la vejiga neurogénica? PDF (5 MB - 36 pages)
Types of Neurogenic Bladder Disorders
Flaccid or Atonic Bladder Occurs after acute spinal cord injury. The bladder fails to contract resulting in urinary retention (inability of the bladder to empty).
Spastic or Reflex Bladder Occurs when there is a spinal cord injury above the level of S2-S4. It results in frequent uncontrolled voiding due to bladder spasms and a lack of sensation.
Uninhibited Bladder Urinary frequency and urgency resulting from changes in the brain. This may be caused by conditions such as stroke, head injury or multiple sclerosis.
Sensorimotor Paralytic Bladder Inability to empty the bladder because of damage to the peripheral nervous system. It can be caused by conditions such as diabetes mellitus or extensive pelvic surgery.
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