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Neurogenic Bladder Rehabilitation

Management of bladder dysfunction after nerve damage.

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 Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Neurogenic Bladder Rehabilitation?

Neurogenic bladder is a condition arising from impaired bladder control as a result of damage to the central or peripheral nervous system. Spinal cord injury, multiple sclerosis, spina bifida, stroke, and diabetic neuropathy are common causes.

Neurogenic bladder types: reflex (upper motor neuron - spastic), areflexic (lower motor neuron - flaccid), mixed, and types causing autonomic dysreflexia. Urodynamic study is the gold standard for determining the correct type.

Rehabilitation goals: safe voiding, preservation of the upper urinary tract, achieving continence, infection prevention, and improving quality of life.

Symptoms

Urinary incontinence
Urinary retention
Frequent urinary tract infections
Sudden urge to urinate (urgency)
Weak urinary stream
Episodes of autonomic dysreflexia

Risk Factors

Spinal cord injury
Multiple sclerosis
Spina bifida
Diabetic autonomic neuropathy
Stroke
Parkinson's disease

When to See a Doctor?

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

  • For bladder management planning after SCI
  • In recurrent urinary infections
  • In upper urinary tract deterioration
  • When incontinence affects quality of life
  • During autonomic dysreflexia episodes

Treatment Methods

01
Urodynamic evaluation
02
Clean intermittent catheterization (CIC) training
03
Anticholinergic drugs (overactive bladder)
04
Pelvic floor exercises (Kegel)
05
Biofeedback and electrical stimulation
06
Bladder training program
07
Botulinum toxin injection
08
Sacral neuromodulation (in advanced cases)

Which Department to Visit?

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

Learn About Fizik Tedavi ve Rehabilitasyon Department

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You can make an appointment with our specialists or contact us for your concerns.

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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.