What is Neurogenic Bladder?
It is the result of a problem in the nervous system such as spinal injury or multiple sclerosis that interferes with the central nervous system’s ability to control the urination reflex resulting in an uncoordinated communication better the detrusor muscles of the bladder and the external urethral sphincter muscles. Normally, these two muscles work together by doing opposite actions (contract vs relax) at the same time. With neurogenic bladder the urethral sphincter will contract when the bladder contracts, which disrupts the ability to empty the bladder.
How do I know if I have neurogenic bladder?
The diagnosis is made by your physician using urodynamics. This is a special bladder test that allows your physician to fill your bladder and (using computer monitors) see how your bladder empties. An EMG is a monitor that allows the physician to see if your urethral sphincter is contracting or relaxing during bladder emptying.
What are some treatments available for neurogenic bladder?
Since neurogenic bladder causes the inability to empty your bladder, a catheter is usually necessary. This can be done on an intermittent basis or with a foley. Proper instruction on inserting a catheter at home is provided by your physician.
Some studies have shown that if the bladder is still functioning, that Electrical Stimulation and biofeedback may help. Ask your physician if you are a candidate for this.