Neurogenic Bladder

  I am a 35 year old female, who has in the past had a "spastic bladder" as it was diagnosed 9 years ago.  It was treated with Peridum(? spelling) and went away after a couple of months.  I am again having similiar symptoms, went to my primary physician who determined it to be a UTI having had white and red cells in the urinalysis.  He treated me with 250mg CIPRO twice a day for 3 days.  Well needless to say the symptoms of urgency and frequent uriniation have not gone away and that was almost two weeks ago.  My question is will the "neurogenic Bladder" go away by itself or does it need to get treated?  It is annoying but not unbearable, if it will probably go away on it's own I can live with it, but if it could lead to other things without being treated would like to know.

[hfhs M.D.-AK]

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Dear Ivonn,
Before you jump to any conclusions that you have a neurogenic bladder, you must first rule out any association with infection.  A formal urodynamic evaluation without infection would then need to show bladder instability with contractions at low bladder capacity.  The symptoms generally are related to urgency.  This means that you need to run to the bathroom and often don