Bladder Neurogenic

Neurogenic bladder: understanding, causes and treatment approaches

The bladder is an important part of the human genitourinary system, performing the function of storing and excreting urine. However, some people may experience a problem known as neurogenic bladder, or vesica urinaria neurogena. In this article, we will review the basic aspects of neurogenic bladder, including its definition, causes, and treatment options.

Neurogenic bladder is a condition in which the functionality of the bladder is impaired due to damage to the nervous system. It can be caused by a variety of reasons, including spinal cord injuries, degenerative diseases such as multiple sclerosis, or neurological disorders. In neurogenic bladder, the nerves that control the contraction of the bladder muscle and the opening and closing of the sphincters do not function properly.

The main symptoms of neurogenic bladder are urinary incontinence, frequent urination, insufficient emptying of the bladder and inability to control urination. This can lead to significant inconvenience and a decrease in the patient's quality of life. In addition, neurogenic bladder may be associated with complications such as bladder infections, kidney and ureteral damage.

Treatment of neurogenic bladder should be comprehensive and individually selected depending on the causes and symptoms of the individual patient. One of the main approaches is conservative treatment, which includes drug therapy, physical therapy and lifestyle changes. Drug therapy may include drugs to help relax the bladder muscles or improve bladder control. Physical therapy can help strengthen the bladder and sphincter muscles and teach the patient specific urinary control techniques.

In some cases, surgery may be required to restore normal bladder function. This may include reconstructive procedures, implantation of electrodes to stimulate nerves, or creation of an artificial outlet for urine.

Newer methods of treating neurogenic bladder are neuromodulation and botulinum therapy. Neuromodulation involves the use of an implantable device that stimulates the nerves that control the bladder to restore normal bladder function. Botulinum toxin therapy, on the other hand, involves injecting botulinum toxin into the bladder muscles to relax and improve bladder control.

It is important to note that treatment for neurogenic bladder should be prescribed and supervised by a qualified medical professional. Each case requires an individual approach, and the choice of treatment will depend on many factors, such as the cause, the degree of bladder dysfunction and the general condition of the patient.

In conclusion, neurogenic bladder is a condition that can seriously impact a patient's quality of life. However, modern medicine offers various approaches to treat this condition, including conservative methods, surgery, neuromodulation and botulinum therapy. Prompt medical attention and appropriate treatment can help patients with neurogenic bladder improve urinary control and improve their quality of life.