Neurogenic Bladder Treatment in Wisconsin

What is Neurogenic Bladder, and How is it Treated?

Neurogenic bladder refers to any nervous system condition that affects the bladder. There are two general types of neurogenic bladder – overactive bladder (also called spastic or hyper-reflexive bladder) and underactive bladder (also called flaccid or hypotonic bladder).

Overactive bladder – People who have an overactive bladder have little or no control over urination. This condition may cause a sudden need to urinate and/or frequent urination. It can also result in bladder incontinence.

Underactive bladder – People who have a neurogenic underactive bladder cannot empty their bladder properly, which can cause the bladder to over-fill. Eventually, the bladder muscles will lose their ability to hold the urine, and urine will leak out. Underactive bladders cannot empty completely, nor can they hold onto urine properly.

Neurogenic bladder may be caused by a number of disorders, including:

  • Stroke
  • Multiple sclerosis (MS)
  • Parkinson’s disease (PD)
  • Spinal cord injuries or spinal surgeries
  • Erectile dysfunction (ED)
  • Trauma and/or accidents
  • Diseases that affect the nervous system, including tumors of the central nervous system
  • Congenital spinal abnormalities
  • Poisoning by heavy metals (like mercury)

A neurogenic underactive bladder can also be a complication of diseases like diabetes, polio and syphilis.

Neurogenic Bladder Symptoms

In addition to the inability to control urination, people with a neurogenic bladder may experience the following symptoms:

  • A weak urine stream or urine dribbling
  • Frequent urination
  • Urination urgency (the sudden need to urinate)
  • Painful urination
  • The inability to urinate or difficulty urinating

Neurogenic Bladder Treatment options

Treatments for neurogenic bladder may include:

  • Intermittent self-catheterization
  • Medications
  • Surgery
  • Physical-psychological therapy
  • Electrical-stimulatory therapy
  • Botox™
  • InterStim therapy
  • Biofeedback

Recommended behavioral changes, like controlling fluid intake, changing your diet and exercising, may also be a part of treatment.

Your treatment plan will depend on many things, including your symptoms, the type of neurogenic bladder you have, the extent of nerve damage causing your bladder problems and preference of you and your physician.

How Do I Schedule a Consultation With a Urology Specialist?

To schedule a consultation or appointment with a urology specialist at Aurora, call one of the urology offices directly. View the list of Aurora urologists.