Re: Neurogenic bladder?

Posted By P.S. on March 17, 1998 at 21:37:14:

In Reply to: Re: Neurogenic bladder? posted by HFHS M.D.-MS on March 16, 1998 at 18:20:03:







: : I have been having problems with retention. I sometimes retain up to half of the bladder content. I have also had severe spasms of the bladder. I went to a Urologist who did a thorough workup and diagnosed me with a neurogenic bladder. He started me on Ditropan, 10mg, 3x daily, and self-cath., twice daily. This seems to be helping quite a bit. Now the question, I went to a different Dr., who said I do not have a neurogenic bladder because my bladder capacity is very large, up to 1000cc. He said a neurogenic bladder is small. Is this true? Your help would be appreciated. I am undergoing neurological workup for possable MS., however to date all tests except the bladder have been normal.



        


: Dear PS
Thanks for your questions.
A truly neurogenic bladder is bladder dysfunction found in a  patient with a neurologic disorder.  The volume is not necessarily a factor in the diagnosis although most neurogenic / high pressured bladders are usually smaller than normal.  The volume of your distended bladder can be from chronic stretching or partly from the ditropan.  We see some normal bladders which are 1000 cc.   The only way to diagnose a truly neurogenic bladder is with urodynamics testing, x-rays and pressure monitoring  of the bladder during filling and emptying, off Ditropan.  This test will help categorize the status of your bladder dysfunction and tailor treatment.  
More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).  Drs Kirkemo and Burks are our urodynamic specialist.  We can also arrange local accommodations through this number if this is your need. Please bring any physicians notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: neurogenic bladder
Thanks for your quick reply. The urologist I saw did do this test. They filled the bladder and exrayed while they were doing different procedures, including watching how the bladder empties. He did a scope where they actually view the inside of the bladder. That was why he diagnosed it as a neurogenic bladder. I was just wondering why another Dr.(neurologist), just because the bladder emptied once, after taking ditropan for two and a half months, decided to call it a myogenic bladder, instead of my Urologist's diagnoses of neurogenic bladder? Considering he didn't even examining my bladder. Thanks P.S.