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Neurogenic Bladder

A condition in which bladder control is impaired due to damage to the central or peripheral nervous system, leading to various urological complications.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Neurogenic Bladder?

Neurogenic bladder is the general term for the dysfunctions arising from damage to the nerve pathways that regulate bladder storage and voiding functions. It can present as overactive (hyperreflexic) or underactive (areflexic).

Spinal cord injury, multiple sclerosis, Parkinson's disease, diabetic neuropathy, and spina bifida are the main causes. The disorder seriously affects the patient's quality of life and, if not managed, can also lead to renal damage.

Treatment of neurogenic bladder has two main goals: protecting the kidneys (achieving low bladder pressure) and supporting social continence. To achieve this goal, an individualized treatment plan guided by urodynamics is essential.

Symptoms

Urinary incontinence or inability to urinate
Inability to fully empty the bladder (increased residual urine)
Frequent urination or inability to urinate at all
Recurrent urinary tract infections
Autonomic dysreflexia in spinal cord injury (hypertension, sweating — emergency)
Signs of renal failure (in the long term if not managed)

Risk Factors

Spinal cord injury or diseases
Multiple sclerosis and Parkinson's disease
Diabetic neuropathy
Pelvic surgery (nerve damage)
Spina bifida and other congenital neural tube defects
Stroke and brain injury

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Urology evaluation after a neurological diagnosis (spinal cord patient, MS, etc.)
  • Bladder emptying assessment in the presence of recurrent UTI
  • Complaints of urinary incontinence or inability to urinate
  • Detection of hydronephrosis on renal ultrasonography
  • Episodes of autonomic dysreflexia (emergency)

Treatment Methods

01
Clean intermittent catheterization (CIC): routine emptying method in hypoactive bladder
02
Anticholinergic drugs or intravesical botulinum toxin injection: increasing capacity in hyperreflexic bladder
03
Alfuzosin / tamsulosin: to reduce sphincter dyssynergia
04
Sacral neuromodulation (SNM): regulating bladder function with electrical stimulation in suitable cases
05
Augmentation cystoplasty (in severely small-capacity bladder)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.