Signs of Neurogenic bladder (Bladder paralysis)

Description

Nerve damage which prevents the correct transmission of messages from the bladder to the brain. For the bladder to work properly, the muscles and nerves must work together to hold urine in the bladder and release it correctly. Nerves carry messages from the bladder to the brain, letting the brain know when the bladder is full. In a neurogenic bladder, the nerves that are supposed to carry these messages malfunction. Trauma to the brain or spinal cord, heavy metal poisoning, diabetes, and acute infections can damage these nerve pathways.

Symptoms

Urinary incontinence, frequent urinary tract infections, frequent urination, painful urination.

Tests

A history and physical exam will be performed. Blood tests and imaging studies to identify the damaged nerves will be done. The bladder is examined by filling and determining if it can empty normally.

Standard Workup

CBC
Chem 12
UA
CT Scan
MRI
Ultrasound

Treatment

Treatment depends on the cause of the neurogenic bladder but may include: medications, a urinary catheter, and/or surgery. For additional information contact the National Kidney and Urologic Diseases Information Clearinghouse at: http://www.kidney.niddk.nih.gov or call (800)891-5390.