1. EMedicine - Neurogenic Bladder : Article By Jong M Choe, MD, FACS neurogenic bladder The normal function of the urinary bladder is to store and expel urine in a coordinated, controlled fashion. This coordinated activity is regulated by the central and central http://www.emedicine.com/med/topic3176.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Urology Neurogenic Bladder Last Updated: January 22, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: incontinence, urinary incontinence, stress incontinence, urge incontinence, overflow incontinence, mixed incontinence, reflex incontinence, Foley catheter, decompensated bladder, detrusor instability, Kegel exercises, Kegels, detrusor hyperreflexia, overactive bladder, OAB, pontine micturition center, PMC AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Neuroanatomy Physiology And Pathophysiology ... Bibliography Author: Jong M Choe, MD, FACS , Director of Continence and Urodynamic Center, Assistant Professor, Department of Surgery; Division of Urology, University of Cincinnati Coauthor(s): Wally Mardovin, MD , Consulting Staff, Department of Urology, Springfield Urology Jong M Choe, MD, FACS, is a member of the following medical societies:

2. Neurogenic Bladder neurogenic bladder. Some children are born with or develop bladders that do not function properly In patient's that have a neurogenic bladder, their compliance may be poor so that as http://www.med.wayne.edu/urology/DISEASES/neurogenicbladder.html

NEUROGENIC BLADDER Some children are born with or develop bladders that do not function properly. These children may have a history of myelomeningocele (spina bifida), have had a traumatic spinal injury, were born with bladder exstrophy (bladder open face at the skin), or have had a congenital bladder obstruction. These patients often have urinary incontinence and may develop dilatation of their ureters and kidneys. Whether due to abnormal nerve innervation of the bladder muscle and/or urethral sphincters, or to chronic obstructive bladder damage most patients with this bladder condition are unable to empty their bladder on their own. Management of children or adolescents with neurogenic bladder conditions are individualized to each patient and their parents. Our main goals are to preserve function of the kidneys and then to obtain full urinary continence in between urinating which is most often assisted with catheterizations if catheterization is required. In those individuals in which we have fully maximized their medical management and clean intermittent catheterization skills and they remain wet or are having progressive dilatation of their ureters or kidneys, we encourage moving ahead to surgical intervention to optimize their condition. In patients who are on clean intermittent catheterization and are having difficulty passing the catheter through the urethra into the bladder or would just prefer an easier more accessible rout for catheterization we've been able to offer them the Mitrofanoff procedure. The Mitrofanoff is a catheterizable non-leaking dime size stoma which we conceal by placing it in the base of the umbilicus (belly button). The appendix is used to communicate the bladder to the umbilicus and is fashioned so to accept an 8-14 french catheter for emptying the bladder and not allow urinary leakage. The patient simply lifts his/her T-shirt places the catheter into the concealed opening in the umbilicus and then empties the bladder. For children or adolescents who are confined to a wheelchair and/or this would allow for their catheterizations independent of others' assistance, this has been most gratifying.

3. Dr. Rose's Peripheral Brain--NEUROGENIC BLADDER DYSFUNCTION precipitous voiding ). IV. Evaluation of urinary tract in suspected neurogenic bladder. History. Urologicmay need to keep urinary diary. Sx http://faculty.washington.edu/momus/PB/neurogen.htm

BLADDER DYSFUNCTION AND INCONTINENCE I. Normal neurologic control of bladder function achieves continence and, during voiding, coordination of detrusor contraction with external sphincter relaxation. Descending pathyways from midbrain and pons are essential for coordination of detrusor and ext. urethr. sphincter; damage from lesions there or high in spinal cord results in "vesical-sphincter dyssynergia" (see below) Keep in mind drugs as a cause of trouble! Pharmacologic manipulation of detrusor contraction and urethr. sphincters can provide some relief Urinary retention carries with it the complications of infection and hydronephrosis, both of which can result in renal failure II. Components of the system: Bladder Dome ("body") lies above a line formed partly by ureteral orifices and post. ridge of the trigone Base includes trigone, neck, and functional internal sphincter "Internal urinary sphincter," aka bladder neck

4. MedlinePlus Medical Encyclopedia: Neurogenic Bladder neurogenic bladder is a urinary problem in which there is abnormal emptying of the bladder with of the common causes for neurogenic bladder are nervous system tumor, trauma http://www.nlm.nih.gov/medlineplus/ency/article/000754.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Neurogenic bladder Contents of this page: Illustrations Definition Illustrations Voiding cystourethrogram Definition Return to top Neurogenic bladder is a urinary problem in which there is abnormal emptying of the bladder with subsequent retention or incontinence of urine. Depending on the type of nervous damage, the bladder may empty spontaneously (incontinence) or may not empty at all (retention with overflow leakage). Some of the common causes for neurogenic bladder are nervous system tumor , trauma, or inflammatory conditions (such as multiple sclerosis). Update Date: 5/3/2002 Updated by: Alberto Espay, M.D., Department of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada. Review provided by VeriMed Healthcare Network. Health Topics Drug Information Encyclopedia Dictionary ... National Institutes of Health Page last updated: 11 May 2004

5. Neurogenic Bladder Details about neurogenic bladder, including the causes, diagnoses, testing and treatment. http://healthlink.mcw.edu/article/931026329.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: By keywords: Receive Health Link via email! Subscribe now >> Neurogenic Bladder For the urinary system to work right, the muscles and nerves must work together to hold urine in the bladder and then release it at the right time. Nerves carry messages from the bladder to the brain, letting the brain know when the bladder is full. The nerves carry messages from the brain to the muscles of the bladder telling them either to tighten or release. In a neurogenic bladder, the nerves that are supposed to carry these messages do not work properly. Neurogenic bladder can lead to different kinds of problems. It may result in urine leakage if the muscles holding urine in do not get the right message. For other people, a neurogenic bladder means that their muscles do not get the message that it is time to let go. If the bladder becomes too full, urine may back up into the kidneys, and the extra pressure causes damage to the tiny blood vessels in the kidney. Or urine that stays too long may lead to an infection in the bladder or ureters, which are the tubes that carry urine from the kidney to the bladder. Accidents that cause trauma to the brain or spinal cord, heavy metal poisoning, diabetes, and acute infections are among the ways nerves and nerve pathways can be damaged. Some children are born with nerve problems, which can keep a baby's bladder from releasing urine, leading to urinary infections or kidney damage.

6. Urology - Neurogenic Bladder neurogenic bladder. What is a neurogenic bladder? The muscles and nerves of the urinary system work together In a neurogenic bladder, the nerves that are supposed to carry these http://www.muschealth.com/urology_GS/neurblad.htm

Neurogenic Bladder What is a neurogenic bladder? The muscles and nerves of the urinary system work together to hold urine in the bladder and then release it at the appropriate time. Nerves carry messages from the bladder to the brain and from the brain to the muscles of the bladder telling them either to tighten or release. In a neurogenic bladder, the nerves that are supposed to carry these messages do not work properly. Complications of a neurogenic bladder: The following problems are often associated with a neurogenic bladder: urine leakage Urine leakage often occurs when the muscles holding urine in do not get the right message. urine retention Urine retention often happens if the muscles holding urine in do not get the message that it is time to let go. damage to the tiny blood vessels in the kidney Damage to the tiny blood vessels in the kidney often happens if the bladder becomes too full and urine backs up into the kidneys, causing extra pressure. infection of the bladder or ureters Infection of the bladder or ureters often results from urine that is held too long before being eliminated.

7. UrologyHealth.org - Adult Conditions - Bladder - Neurogenic Bladder neurogenic bladder. The normal function of the bladder is to store and expel urine in a coordinated, controlled fashion. What is neurogenic bladder? http://www.urologyhealth.org/adult/index.cfm?cat=03&topic=109

8. Nerve Disease And Bladder Control From The National Kidney and Urologic Diseases Information Clearinghouse a detailed description of what this is, what problems result, causes, testing, treatment and further resources. http://www.niddk.nih.gov/health/urolog/summary/neuro/index.htm

Email To A Friend Home : Nerve Disease and Bladder Control Nerve Disease and Bladder Control On this page: What bladder control problems does nerve damage cause? What causes nerve damage and bladder control problems? How will the doctor test for nerve damage and bladder control problems? What are the treatments for overactive bladder? ... For More Information For the urinary system to do its job, muscles and nerves must work together to hold urine in the bladder and then release it at the right time. Nerves carry messages from the bladder to the brain to let it know when the bladder is full. They also carry messages from the brain to the bladder, telling muscles either to tighten or release. A nerve problem might affect your bladder control if the nerves that are supposed to carry messages between the brain and the bladder do not work properly. Top What bladder control problems does nerve damage cause? Nerves carry signals from the brain to the bladder and sphincter. Nerves that work poorly can lead to three different kinds of bladder control problems. Overactive bladder.

9. Thomas Jefferson University Hospital - Neurogenic Bladder A detailed article about this disorder, including a definition, complications, causes, symptoms, diagnosis and treatment. http://jhsweb01.tju.edu/www.frankfordhospitals.org/show.asp?durki=5292

10. EMedicine - Myelodysplasia And Neurogenic Bladder Dysfunction : Article By Terry Myelodysplasia and neurogenic bladder Dysfunction The term myelodysplasia includes a group of developmental anomalies that result from defects in neural tube http://www.emedicine.com/ped/topic1579.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Urology Myelodysplasia and Neurogenic Bladder Dysfunction Last Updated: May 31, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: neurospinal dysraphism, meningocele, myelomeningocele, lipomeningocele, spina bifida, neural tube defects, neurogenic bladder, spinal dysraphism, spina bifida occulta AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Terry Favazza, MD , Staff Physician, Department of Surgery, Section of Urology, Medical College of Virginia Coauthor(s): Harry P Koo, MD , Director of Pediatric Urology, Medical College of Virginia, Director of Urology, Children's Hospital of Richmond, Associate Professor, Department of Surgery, University of Michigan at Ann Arbor Terry Favazza, MD, is a member of the following medical societies: American College of Surgeons American Urological Association California Medical Association Endourological Society , and Oregon Medical Association Editor(s): Howard M Snyder III, MD

11. MedNets Patient Information An article about neurogenic bladder explaining what it is, complications, treatment and further resources. http://www.mednets.net/neurogenicbladder.htm

12. Discovery Health Neurogenic Bladder neurogenic bladderBy Stuart Wolf, MD. Images neurogenic bladder is the loss of normal bladder function caused by damage to part of the nervous system http://health.discovery.com/diseasesandcond/encyclopedia/2463.html

13. Neurogenic Bladder - Urological Disorders Health Guide neurogenic bladder. What is a neurogenic bladder? In a neurogenic bladder, the nerves that are supposed to carry these messages do not work properly. http://www.umm.edu/urology-info/neurblad.htm

Urological Disorders Urogenital Disorders... Analgesic Nephropathy Cystocele ... Site Index Related Resources Within UMM Urology Urological Disorders Neurogenic Bladder What is a neurogenic bladder? The muscles and nerves of the urinary system work together to hold urine in the bladder and then release it at the appropriate time. Nerves carry messages from the bladder to the brain and from the brain to the muscles of the bladder telling them either to tighten or release. In a neurogenic bladder , the nerves that are supposed to carry these messages do not work properly. Problems often associated with a neurogenic bladder: urine leakage - this often occurs when the muscles holding urine in do not get the right message. urine retention - this often happens if the muscles holding urine in do not get the message that it is time to let go. damage to the tiny blood vessels in the kidney - this often happens if the bladder becomes too full and urine backs up into the kidneys, causing extra pressure. infection of the bladder or ureters - often resulting from urine that is held too long before being eliminated.

14. Methodist Health Care System Details about neurogenic bladder, what it is, problems associated with it, causes, diagnosis and treatment. http://methodisthealth.com/urogen/neurblad.htm

15. THE MERCK MANUAL--SECOND HOME EDITION, Table Of Contents A description of neurogenic bladder and details about the causes, symptoms, diagnosis and treatment. http://www.merck.com/pubs/mmanual_home/sec11/129.htm

Merck is committed to providing excellent information, and as part of that effort, Merck provides all of The Merck Manuals on a not-for-profit basis as a service to the community. Read more. Table of Contents Sections: 1. Fundamentals 2. Drugs 3. Heart and Blood Vessel Disorders 4. Lung and Airway Disorders ... About the Book Mark H. Beers, MD, Editor-in-Chief Andrew J. Fletcher, MB, BChir, Senior Assistant Editor; Thomas V. Jones, MD, MPH, Senior Assistant Editor; Robert Porter, MD, Senior Assistant Editor; Michael Berkwits, MD, Assistant Editor; Justin L. Kaplan, MD, Assistant Editor Editorial Board Sarah L. Berga, MD; Marjorie A. Bowman, MD, MPA; Douglas A. Drossman, MD; L. Jack Faling, MD; Eugene P. Frenkel, MD; Glen O. Gabbard, MD; Michael Jacewicz, MD; Gerald L. Mandell, MD; John E. Morley, MB, BCh; G. Victor Rossi, PhD; Albert A. Rundio, Jr., PhD; H. Ralph Schumacher, Jr., MD; Peter G. Szilagyi, MD, MPH; Paul H. Tanser, MD, FRCP(C), FRCP(Glasgow) Editorial and Production Staff Keryn A.G. Lane, Executive Editor; Sandra J. Masse

16. THE MERCK MANUAL, Sec. 17, Ch. 216, Myoneurogenic Disorders Hypotonic (flaccid) neurogenic bladder is generally caused by damage to local innervation Spastic (contracted) neurogenic bladder is usually due to brain or suprasacral spinal http://www.merck.com/pubs/mmanual/section17/chapter216/216b.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 17. Genitourinary Disorders Chapter 216. Myoneurogenic Disorders Topics [General] Neurogenic Bladder Megacystis Syndrome Ureteral Dysfunction Neurogenic Bladder Vesical dysfunction resulting from a congenital abnormality, injury, or disease process of the brain, spinal cord, or local nerve supply to the urinary bladder and its outlet. In the neurogenic bladder, activity can be hypotonic (flaccid) or spastic (contracted). Etiology Hypotonic (flaccid) neurogenic bladder is generally caused by damage to local innervation (sacral spinal cord); common congenital causes include myelomeningocele, filum terminale syndrome, or other lesions of the spinal cord, including the cauda equina. Spastic (contracted) neurogenic bladder is usually due to brain or suprasacral spinal cord damage; the most common acquired cause is spinal cord injury from transverse myelitis or traumatic cord transection that results in paraplegia or quadriplegia. Both hypotonic and spastic neurogenic bladder can be caused by disease processes, including syphilis, diabetes mellitus, brain or spinal cord tumors, stroke, ruptured intervertebral disk, and demyelinating or degenerative diseases (eg, multiple sclerosis, amyotrophic lateral sclerosis).

17. VhiHealth-e neurogenic bladder, a definition, description and look at the causes, symptoms, diagnosis, treatment and prognosis. http://www.vhi.ie/article/gale/100083765;$sessionid$K4SIDNIAAAPWFWCYSYVSM4Q

18. EarthLink-Health Library . neurogenic bladder is impaired bladder function resulting from...... Types of neurogenic bladder are spastic bladder, reflex bladder, and flaccid bladder neuropathic bladder. http://www.healthscout.com/ency/43/391/main.html

Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Advertisement Library A B C D ... Y Neurogenic Bladder From Our Sponsors: Advertisement Definition This is a dysfunction of the urinary bladder caused by a problem of the nervous system. Types of neurogenic bladder are spastic bladder, reflex bladder, and flaccid bladder. It is also called neuropathic bladder. Description Neurogenic bladder is impaired bladder function resulting from damage to the nerves that govern the urinary tract. Various nerves converge in the area of the bladder and serve to control the muscles of the urinary tract, which includes the sphincter muscles that normally form a tight ring around the urethra to hold urine back until it is voluntarily released. A variety of factors can damage these nerves and cause urinary incontinence. In some cases, spontaneous nerve impulses to the bladder trigger spastic unexpected bladder contractions, resulting in accidental voiding of sometimes large amounts of urine. In other types of neurogenic bladder conditions, the bladder may become flaccid and distended and cease to contract fully, resulting in only partial emptying and continual dribbling of small amounts of urine. Rashes may erupt in areas of the skin irritated by urine.

19. REBEC Features Restoration of Bladder Function by Neuroprosthetics, a scientific longterm research project funded by the European Commission which aims to develop neuroprosthetic implants for treatment of neurogenic bladder. http://www.rebec-europe.org

20. Introduction: Neurogenic Bladder - WrongDiagnosis.com Introduction to neurogenic bladder as a medical condition including symptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/n/neurogenic_bladder/intro.htm

Diseases IMPORTANT! Use of this site is subject to our and Home Symptoms Diseases Risks Search: We show you all these ads in order to provide this free site; give your feedback WrongDiagnosis TM Premium Report: Diabetes Diagnosis and Misdiagnosis Available Now! Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Neurogenic bladder Next sections Basic Summary for Neurogenic bladder Causes of Neurogenic bladder Symptoms of Neurogenic bladder Diagnostic Tests for Neurogenic bladder ... Complications of Neurogenic bladder Next chapters: Vaginal fistula Incontinence Urine retention Acute urinary conditions ... Feedback Introduction: Neurogenic bladder Neurogenic bladder: Problems with the nerves controlling the bladder and urination. Neurogenic bladder: The nerves carry messages from the brain to the muscles of the bladder telling them either to tighten or release. In a neurogenic bladder, the nerves that are supposed to carry these messages do not work properly. Contents for Neurogenic bladder: Basic Summary for Neurogenic bladder Causes of Neurogenic bladder Symptoms of Neurogenic bladder Diagnostic Tests for Neurogenic bladder ... Treatments for Neurogenic bladder Footnotes: 1. excerpt from

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