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Neurogenic Bladder

What is Neurogenic Bladder?

Neurogenic bladder is a disease characterized by the inability of the bladder to perform its storage and excretion functions properly due to injuries and diseases that develop at various levels of the nervous system.

Neurogenic Bladder

It progresses with different types of disorders on the bladder depending on the time, place, shape and severity of the event affecting the nervous system.

What are the Neurogenic Bladder Symptoms?

  • Low volume but frequent urination,
  • Sudden urgency and even urinary incontinence,
  • Loss of urine sensation,
  • Urinary incontinence (dripping) without a feeling of urgency,
  • Facial flushing, sweating, increased blood pressure while urinating (Autonomic Dysreflexia),
  • In the long term, urinary stone formation may be accompanied by frequent recurrent urinary tract infections,
  • Renal failure may be observed in patients as a long-term consequence of neurogenic bladder.

Neurogenic Bladder Causes

  • Stroke,
  • Dementia & Alzheimer,
  • Brain Trauma,
  • Glioma,
  • Cerebellar Ataxia,
  • Hydrocephalus,
  • Cerebral palsy,
  • Parkinson’s,
  • Multiple Sclerosis (MS),
  • Spinal Cord Trauma,
  • Transverse Myelitis,
  • Neurospinal Dysraphism,
  • Tabes Dorsalis, Pernicious Anemia,
  • Poliomyelitis,
  • Disc Diseases,
  • Spinal Stenosis,
  • Radical Pelvic Surgery,
  • Birth,
  • Herpes Virus Infections,
  • Diabetes Mellitus,
  • Guillain-Barre Syndrome,
  • Aging.

and many other neurological, hormonal, infective and oncological diseases may be responsible for voiding dysfunction.

Neurogenic Bladder Treatment Purpose

  • Protecting the kidneys,
  • Preventing the development of infection,
  • Ensuring urine storage and discharge,
  • Providing additional urinary excretion methods if necessary,
  • Ensuring social adaptation.

Neurogen Bladder Drug Treatments

  • Muscarinic receptor antagonists: These are drugs that reduce and suppress bladder contractions and are the most commonly used drugs in treatment. The main ones are; oxybutynin, darifenacin, fesoterodine, propiverine, solifenacin, tolterodine, trospiumchloride.
  • Beta-3 agonists (mirabegron): They are new generation drugs compared to other drugs and have a lower side-effect profile.
  • Antibiotic Treatment

Advanced Treatment Methods

  • Intermittent Catheterization (IC),
  • Intra-bladder botox application,
  • Nerve stimulation techniques (Neuromodulation),
  • Increasing bladder capacity with surgical techniques (Augmentation Cystoplasty).

Note: Page contents are for informational purposes only and a doctor's application is required for your diagnosis and treatment.

Update Date: 27.04.2022
Assoc. Prof. Dr. Arif Demirbaş
Doç. Dr. Arif Demirbaş
Üroloji Uzmanı
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
Assoc. Prof. Dr. Arif Demirbas
Urology Specialist
Dr. Arif Demirbaş was born in 1985 in Turkey. He graduated from Uludag University Faculty of Medicine in 2010. He completed his urology residency training at Ankara Training and Research Hospital between 2011-2016. As a result of intensive academic studies after his specialization, he received the title of Associate Professor in March 2021.

Although he has experience with each of urological diseases, he has a special interest in the diagnosis, medical treatment and surgical treatment of urological cancers (prostate cancer, kidney cancer, bladder cancer and testicular cancer),kidney stone diseases, benign prostate enlargement, adrenal gland diseases (surrenal gland) and pediatric urology diseases (ureteropelvic stenosis, vesicoureteral reflux, undescended testicles). If possible, the surgeries are planned laparoscopically and endoscopically in a way that creates the least discomfort for the patient as required by the era.
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