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Neurogenic bladder

by vanhawk48, Jan 08, 2008 08:39PM
Is  neurogenic  bladder  caused  by  lesions  of  the  brain or  spine ?
Member Comments (3)

by Amyloo, Jan 09, 2008 12:02AM
To: Vanhawk
I believe bladder issues are related to lesions in the spine.  My recent MRI showed two lesions in t-spine and my neuro said they cause issues with legs, bladder, bowels, etc.  Hope this helps, Amy

by Quixotic1, Jan 09, 2008 02:04AM
To: Vanda
Amy is pretty much right.  Though brainstem lesions can cause the problems, the most common lesions in MS are in the spine.  Actually they are in the posterior and lateral columns of the cervical spine, but thoracic lesions are possible.

Neurogenic bladder can refer to any abnormality of urination caused by dysfunction of the nerves.  These can include urge incontinence, with frequent strong urges and leaking on the way to the bathroom, hesitancy where it is difficult to initiate rinating and the strem starts and stops.  It may cause the bladder to fail to send a signal that it is full and cause any level of urine retention.  One of the first signs of this is recurrent urine infections.  And any combinations of these is possible.

A really nice discussion of this - fairly medical - is:

http://www.emedicine.com/med/topic3176.htm

I hope this helps, Quix

by vanhawk48, Jan 09, 2008 12:01PM
Thank  you  guys  for  your  help .
I  am  kind  of  surprised  ,  since   my  May 07 MRI  didn't  showed  any  lesions .
In  Aug or  Sept  07 , I  have  notice  L'Hermitte  sign  .
Is  it  fair  to  assume  , that  something  is  going  on  in my cervical ?
Thanks  again  , you  guys  are  marvelous .
Vanda
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