Neurogenic atony of the urinary bladder
Neurogenic Atony Of The Urinary Bladder
Neurogenic atony of the urinary bladder is a condition in which a bladder does not expulse its content as it should. It occurs when the nerves that control the bladder muscles are damaged or impaired. This results in an inability to contract the muscles that would normally control the passage of urine. As a result, the bladder can become enlarged or overfilled.
Neurogenic bladder can be caused by injuries to the spinal cord, tumors, infections, or diseases such as multiple sclerosis or Parkinson's disease. It can also be caused by medications such as narcotics or opiates, which can interfere with the signals sent to the bladder muscles.
The primary symptoms of neurogenic bladder are urinary incontinence (inability to control the passage of urine) and urgency (the feeling of having to urinate right away). Other symptoms include a weak stream of urine, difficulty starting a urine stream, incomplete bladder emptying, frequent urination, and feeling the need to urinate again soon after finishing.
Diagnosis of neurogenic bladder typically involves a physical exam and a review of the patient’s medical history. Diagnostic tests such as an ultrasound, X-ray, CT scan, or MRI may also be used to examine the bladder and detect any structural abnormalities. Urodynamic studies may also be used to measure the bladder’s pressure and contractions.
Treatment of neurogenic bladder depends on the underlying cause of the condition. It may involve medications such as anticholinergics, which can relax the bladder muscles and reduce urgency, or medications that can reduce spasms or enhance bladder contractions. Surgical or minimally-invasive procedures may be used to correct any underlying structural abnormalities, and physical therapy or biofeedback can be used to improve the functioning of the bladder muscles. Other treatments such as catheterization and bladder irrigation may also be necessary.
List of Treatment Options
- Medications such as anticholinergics, spasmolytics, and bladder enhancers.
- Surgery or minimally-invasive procedures to correct any underlying structural abnormalities.
- Physical therapy or biofeedback to improve functioning of bladder muscles.
- Catheterization and bladder irrigation.