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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’t make it in time.
I think your doctor did the right thing by giving you antibiotic but I’m still not clear why you feel you have a neurogenic bladder. If the urine culture shows that you had an infection, this would certainly be able to explain your frequency and urgency. It is entirely possible that the antibiotic you took did not kill the bacteria causing the infection to persist. Your doctor should reculture your urine and order a sensitivity. If this culture is negative, then it would not be unreasonable to do a full work-up for infections, bladder cancer and interstitial cystitis, which all include an IVP and cystoscopy. If this group of tests are negative, urodynamic evaluation might be considered.
Overall, I would not identify yourself as a person with a neurogenic bladder until the proper tests have been performed. Speak to your doctor about repeat culture and then discuss your options. There is several discussions about Interstitial Cystitis on the forum. Good Luck!
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Neurogenic Bladder
