What Is Bladder Dysfunction?

Neurobladder dysfunction

Neurobladder dysfunction

Neurobladder dysfunction

neurogenicbladder dysfunction

Urinary dysfunction caused by damage to the central (brain or spinal cord) or peripheral nerves that control urination. Referred to as neurogenic bladder. Almost every neuropathy can affect the function of the bladder, but the same type of neuropathy can cause completely different bladder function changes in different patients, for reasons unclear. Common neurogenic bladder causes are: spinal cord injury, multiple sclerosis, cerebrovascular disease, Parkinson's disease, diabetes, spinal meningocele, and nerve damage caused by surgery. Neurogenic bladder is generally divided into two categories: detrusor reflex anti-progression, this type of bladder detrusor muscle has reflex anti-progression response to stimulation. The detrusor has no reflex. This type of bladder's detrusor has no reflex to the stimulus. Lesions above the micturition center cause a spasmodic bladder, with symptoms such as small volume, non-free contraction, increased bladder pressure, and detrusor thickening. The sacral spinal cords 2 to 4 are tension-free bladder caused by damage to the urination center, diabetic neuropathy, etc., which are characterized by large volume, low internal pressure, involuntary contraction, and low external sphincter tone.

Neurogenic bladder often has difficulty urinating, difficult to control urination, and various symptoms of nerve damage. Urodynamic tests can identify the type of neurogenic bladder. Urine tests can determine if there is a co-infection. Determination of renal function can determine the presence or absence of uremia. Urinary angiography can understand the presence or absence of hydronephrosis and ureteral reflux. The bladder looks like a pagoda with pseudo diverticulum.

Treatment can use a variety of non-surgical or surgical methods to protect renal function; can also use bladder catheterization, intermittent catheterization, Ditropan treatment, electrical stimulation and urination. If there is severe renal impairment, urinary diversion surgery is needed. For urinary incontinence, various devices designed to control urination can be used in recent years.