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Neurogenic bladder is abnormal bladder function caused by a nerve problem. The bladder may empty too often or at the wrong time (
incontinence) or the bladder may be unable to completely empty the urine (urinary retention). In this case, urine may leak out of the overfilled bladder.
Contact your doctor if you think you may have this condition. The sooner it is treated, the lower the chance of developing other serious conditions, such as a
urinary tract infection.
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be asked to keep a diary of how often you empty your bladder and other urinary habits. If your doctor thinks that your symptoms may be caused by a nerve problem, you may have some of the tests below. You may also be referred to an urologist for further evaluation and treatment.
Tests may include the following:
Bladder function tests
Imaging tests of the kidneys, ureters, and bladder, such as:
While most cases of neurogenic bladder cannot be prevented, people with diabetes may be able to delay or avoid the problem by carefully controlling their blood sugar levels over the long-term. Also, wearing seat belts and avoiding activities that increase the risk of spinal cord injuries will prevent neurogenic bladder from this cause.
Morantz CA. ACOG guidelines on urinary incontinence in women.
Am Fam Physician
Nerve disease and bladder control. National Kidney and Urologic Diseases Information Clearinghouse website. Available at:
. Updated June 29, 2012. Accessed October 18, 2012.
Neurogenic bladder. Urology Care Foundation website. Available at:
. Updated January 2011. Accessed October 18, 2012.
Scientific Committee of the First International Consultation on Incontinence. Assessment and treatment of urinary incontinence.
7/28/2014 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Mangera A, Apostolidis A, et al. An updated systematic review and statistical comparison of standardised mean outcomes for the use of botulinum toxin in the management of lower urinary tract disorders. Eur Urol. 2014;65(5):981-990.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.