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Urology (Expert Forum)
Neurogenic Bladder
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Neurogenic Bladder
by nds__0, Jan 21, 1999 12:00AM
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.
Doctor's Answer
by hfhs M.D.-AK, Jan 21, 1999 12:00AM
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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
