Neurogenic Bladder: Bladder Dysfunction - Nasindependenceday

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Neurogenic Bladder: Bladder Dysfunction

Thursday, June 14, 2018

A neurogenic bladder is becoming a common problem these days. When the bladder cannot serve normal functions it is grossly attributed the name of neurogenic bladder. This usually happens due some abnormalities in the functioning of the nervous system. A complex synchronization of the functions of the nerves and the muscles causes a bladder to function normally. If any of them is disrupted, the storage as well as the elimination function of urine is messed up.

A lot of coordination all the functions of the nervous system can cause a lot of problems. A few of them are discussed below.
  1. A normal bladder function can change into an overactive bladder resulting in extremely frequent as well as quick contractions.
  2. A broader can become underactive, which then poses problem in contraction and does not empty properly.
  3. There can also be a problem of overactive sphincter that does not let urine empty entirely.
  4. In case of an underactive sphincter, urine leaks undesirably. A sphincter is basically the valve that allows for the restoration of urine, or the control of urine from the bladder.
There can be a number of hereditary or acquired factors which result in a neurogenic bladder. Spinal cord injury can call forth an aberrant and atypical nerve supply to the urinary tract. In case of congenital spinal cord injury like spinal bifida, the nerve supply can be hindered. Also in acquired cases like a tumor or trauma to the spinal cord, diabetes mellitus, multiple sclerosis, strokes and even Parkinson’s disease can result in a neurogenic bladder. Common causes of the neurogenic bladder are often attributed to the abnormalities in the central nervous system such as the Alzheimer's disease, cerebral palsy, birth defects of the spinal cord, different forms of encephalitis, brain and spinal cord tumors, videos learning disabilities such as the attention deficit hyperactivity disorder or ADHD.

A prolonged illness that caused deformation of the nerves, from the brain supplying the bladder, can also result in such a condition. In neuropathy that is the common nervous damage, nerve damage due to acute and chronic diabetes, damage of the nerves due to severe alcoholism, vitamin B12 deficiency damage due to pelvic surgery, syphilis, pelvic surgery, spinal canal stenosis or even a herniated disc.

The best urologist in India will provide you an individualized and the best treatment in such a condition. Treatment is mostly individualized depending on the diagnostic symptoms and the anomalies reported on urodynamic testing. Anticholinergic medications can treat an overactive bladder in most cases. Botulinum toxin is commonly injected into the bladder. In severe cases different forms of bladder surgeries, are often found to provide a permanent solution. In case of the trouble of incomplete bladder emptying, clear and sporadic catheterization techniques are effective.

A regular check up of the urinary tract and bladder and a close monitoring of the same can keep these kind of problems at bay. This is very essential in all patients with and without neurogenic bladder. A silent deterioration is very common, as the symptoms are not distinct always. A silent damage and disruption can result in long term demolition of the kidneys and the bladder, resulting in lifelong dependency.
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