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Urology (Expert Forum)
Re: 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.
Re: neurogenic bladder
by hfhs M.D.-AK, Jan 01, 1995 12:00AM
Posted By HFHS M.D.-AK on February 10, 1999 at 12:58:16:
In Reply to: neurogenic bladder posted by Maria Kurka on February 04, 1999 at 13:06:46:
My mom is 65, enjoyed a generally good health so far and has been suffering from urine retention for the past 9 months now.
After some tests, including urodynamics, doctors have diagnosed Neurological Bladder due to unknown reasons. The greatest
suspicion so far is on a diabetics condition, since her sugar levels were slightly higher than average. She now uses a catheter at
the end of the day, to help fully emptying her bladder, since her natural daily urinations are not able to withdraw the complete
amount of liquid.
The questions are: i)are there cases of similar conditions where normality is regained after a period of time?
ii)although no further symptoms are felt, is it worth to continue scanning for other definite health conditions
that might be causing the disfunction?
Yours sincerely,
Maria Kurka
-
Dear Maria,
If your mother is experiencing an acute problem with urinating, there would be a good chance of her regaining the ability to empty her bladder. However, you mentioned Diabetes as a possible cause. If this is truly the case, this is a chronic condition and the bladder probably will not regain its full strength. The problem in a sensory neurogenic bladder secondary to Diabetes, is that the bladder cannot sense when the bladder is full. Typically, the bladder is large capacity and over distended, these are both signs of a chronic problem. Now I dont want to blow away all of your hopes because I have not seen your mother, her urodynamic work-up and it doesnt take much force to empty a females bladder. If your mother could remain on a timed urinating schedule, and does well with her night time catheterization, she might regain the ability to spontaneously void on her own. Only time will tell.
Just remember that diabetes is a chronic condition that tends to have progressive symptoms rather than cures. Follow-up with your urologist will be important and possible repeat Urodynamic may give you an indication if her problem is getting better or worse.
I would never want to tell you to stop looking for any other condition that might be causing your mothers problem, however, if here urodynamic study is consistent with a sensory neurogenic bladder and she has long-standing out of control diabetes, you may be wasting your time. This would be the final decision of your urologist.
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
In Reply to: neurogenic bladder posted by Maria Kurka on February 04, 1999 at 13:06:46:
My mom is 65, enjoyed a generally good health so far and has been suffering from urine retention for the past 9 months now.
After some tests, including urodynamics, doctors have diagnosed Neurological Bladder due to unknown reasons. The greatest
suspicion so far is on a diabetics condition, since her sugar levels were slightly higher than average. She now uses a catheter at
the end of the day, to help fully emptying her bladder, since her natural daily urinations are not able to withdraw the complete
amount of liquid.
The questions are: i)are there cases of similar conditions where normality is regained after a period of time?
ii)although no further symptoms are felt, is it worth to continue scanning for other definite health conditions
that might be causing the disfunction?
Yours sincerely,
Maria Kurka
-
Dear Maria,
If your mother is experiencing an acute problem with urinating, there would be a good chance of her regaining the ability to empty her bladder. However, you mentioned Diabetes as a possible cause. If this is truly the case, this is a chronic condition and the bladder probably will not regain its full strength. The problem in a sensory neurogenic bladder secondary to Diabetes, is that the bladder cannot sense when the bladder is full. Typically, the bladder is large capacity and over distended, these are both signs of a chronic problem. Now I dont want to blow away all of your hopes because I have not seen your mother, her urodynamic work-up and it doesnt take much force to empty a females bladder. If your mother could remain on a timed urinating schedule, and does well with her night time catheterization, she might regain the ability to spontaneously void on her own. Only time will tell.
Just remember that diabetes is a chronic condition that tends to have progressive symptoms rather than cures. Follow-up with your urologist will be important and possible repeat Urodynamic may give you an indication if her problem is getting better or worse.
I would never want to tell you to stop looking for any other condition that might be causing your mothers problem, however, if here urodynamic study is consistent with a sensory neurogenic bladder and she has long-standing out of control diabetes, you may be wasting your time. This would be the final decision of your urologist.
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
