1. THE MERCK MANUAL--Home Edition, Sec. 11, Ch. 129, Neurogenic Bladder A neurogenic bladder may result from a disease, an injury, or a birth defect affecting the brain, spinal cord, or nerves http://www.merck.com/pubs/mmanual_home/sec11/129.htm

The Merck Manual of Medical InformationHome Edition Section 11. Kidney and Urinary Tract Disorders Chapter 129 Neurogenic Bladder A neurogenic bladder is the loss of normal bladder function caused by damage to part of the nervous system. A neurogenic bladder may result from a disease, an injury, or a birth defect affecting the brain, spinal cord, or nerves leading to the bladder, its outlet (the opening into the urethra from the bladder), or both. A neurogenic bladder can be underactive, in which it is unable to contract (noncontractile) and unable to empty well, or it can be overactive (spastic), emptying by uncontrolled reflexes. Causes An underactive bladder usually results from interruption of local nerves supplying the bladder. The most common cause in children is a birth defect of the spinal cord, such as spina bifida or a myelomeningocele (a protrusion of the spinal cord through the vertebrae). ( see illustration, page 1235) An overactive bladder usually results from an interruption of normal control of the bladder by the spinal cord and brain. A common cause is an injury or a disorder, such as multiple sclerosis, affecting the spinal cord, which may also result in paralysis of the legs (paraplegia) or the arms and legs (quadriplegia). Often, such an injury first causes the bladder to become flaccid for days, weeks, or months (the shock phase). Later, it becomes overactive and empties without voluntary control. Symptoms The symptoms vary, according to whether the bladder is underactive or overactive.

2. Neurogenic Bladder From The National Kidney and Urologic Diseases Information Clearinghouse a detailed description of Category Health Conditions and Diseases neurogenic bladder...... In a neurogenic bladder, the nerves that are supposed to carry these messages donot work properly. neurogenic bladder can lead to different kinds of problems. http://www.niddk.nih.gov/health/urolog/summary/neuro/

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.

3. Urology Disorders - Neurogenic Bladder - Methodist Health Care System - Houston, Details about neurogenic bladder, what it is, problems associated with it, causes, diagnosis and treatment.Category Health Conditions and Diseases neurogenic bladder......neurogenic bladder What is a neurogenic bladder? The muscles and nerves workproperly. Complications of a neurogenic bladder The following http://www.methodisthealth.com/urogen/neurblad.htm

Urology Disorders Home La Urologia - Los Trastornos Genitourinarios (en español) La Salud de la Próstata (en español) Clinical Services Urology Institute at The Methodist Hospital Methodist Diagnostic Hospital Methodist Sugar Land Hospital ... Newsletters! 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.

4. Frankford Hospitals - 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

5. Neurogenic Bladder Details about neurogenic bladder, including the causes, diagnoses, testing and treatment.Category Health Conditions and Diseases neurogenic bladder......In a neurogenic bladder, the nerves that are supposed to carry messages tothe bladder do not work properly. Subscribe now . neurogenic bladder. 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. Neurogenic Bladder In Parkinson's, Multiple Sclerosis And SpinoCerebellar Degene neurogenic bladder. Renal failure with Neurogenic lower Urinary Tract dysfunction http://www.albany.net/~tjc/neurogenic-bladder2-98.html

Neurogenic Bladder Renal failure with Neurogenic lower Urinary Tract dysfunction NeuroEpidemiology 2001 May;20(2):138-43 Hinyokika Kiyo 1997 Nov;43(11):765-769 Bladder cooling Reflex in Multiple Sclerosis J Urol 2000 Oct;164(4):1280-4 Lower Urinary Tract Dysfunction and Disability status in Multiple Sclerosis Arch Phys Med Rehabil 1999 Apr;80(4):437-41 Two Files IleoVesicostomy management for Incontinence Urodynamic findings in Multiple Sclerosis J Urol, 1998 Mar, 159:3, 972-6 Two Files Tolterodine (Detrol) for Detrusor HyperReflexia Frequent Urination problems in MS Urinary Definitions Urinary tract infections may trigger MS relapses Axone 1998 Jun;19(4):67-70 Bulk Files Urinary Incontinence in Multiple Sclerosis Urol Int 1997;59(3):197-199 J Urol 1999 Mar;161(3):743-57 Neurogenic Bladder Findings Shimizu K, Yasukawa M, Yamamoto M, Hirao Y, Momose H, Kashiwai H, Kawata Y, Yamada K Hinyokika Kiyo 1997 Nov;43(11):765-769 Nara Medical University, Dept of Urology, Japan UI # 98098349 Abstract Clinical symptoms, Urodynamic findings, and Urological treatment of 35 patients with Neurogenic Bladder Dysfunction caused by Parkinson's Disease (11 patients), Multiple Sclerosis (10 patients), and SpinoCerebellar Degeneration (14 patients) were retrospectively reviewed. Most of the patients had a relatively low stage of disease, when they were first seen by their Urologists. Chief Urological complaints were of Irritation in 63.6% of Parkinson's Disease and 64.3% of SpinoCerebellar Degeneration cases, compared with Obstruction in 80.0% of

7. EMedicine - Neurogenic Bladder : Article By Jong M Choe, MD, FACS Symptoms of neurogenic bladder range from detrusor underactivity to overactivity, depending on the site of neurologic 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: July 31, 2001 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, detrusor hyperreflexia, overactive bladder 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: American Association of University Professors American College of Surgeons American Medical Association American Urological Association ... International Continence Society , Ohio Urological Society, and Society of University Surgeons Editor(s): Raymond Rackley , Co-Head, Section of Voiding Dysfunction and Female Urology., Section of Voiding Dysfunction and Female Urology, Urological Institute, Cleveland Clinic Foundation;

8. Neurogenic Bladder 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

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.

9. Urology Disorders - Neurogenic Bladder - Spanish Content - Methodist Health Care Translate this page La Vejija Neurogénica ¿Qué es la vejiga neurogénica? Los músculosy los nervios del sistema urinario trabajan juntos para contener http://www.methodisthealth.com/spanish/urology/neurblad.htm

Página Principal de La Urología Clinical Services Urology Institute at The Methodist Hospital Methodist Diagnostic Hospita l Methodist Sugar Land Hospital Methodist Willowbrook Hospital San Jacinto Methodist Hospital ... Plan Para Hacer una Cita Médica Póngase en Contacto con Nosostros: Referencia Médica Plan Para Hacer una Cita Médica Preguntas Generales Planes de Salud ... Directorio de Médicos La Vejija Neurogénica ¿Qué es la vejiga neurogénica? Los músculos y los nervios del sistema urinario trabajan juntos para contener la orina en la vejiga y vaciarla en el momento apropiado. Los nervios llevan mensajes de la vejiga al cerebro y del cerebro a los músculos de la vejiga para decirles cuándo deben contraerse o relajarse. En la vejiga neurogénica, los nervios que supuestamente llevan estos mensajes no funcionan adecuadamente. Complicaciones de la vejiga neurogénica: Los siguientes problemas a menudo se asocian con la vejiga neurogénica. Escape de orina El escape de orina ocurre con frecuencia cuando los músculos que contienen la orina no reciben el mensaje correcto.

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

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11. Dr. Rose's Peripheral Brain--NEUROGENIC BLADDER DYSFUNCTION IV. Evaluation of urinary tract in suspected neurogenic bladder History.Urologicmay need to keep urinary diary. Sx and h/o UTI's; 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

12. Urology Disorders - Neurogenic Bladder - Methodist Health Care System - Houston, Details about neurogenic bladder, what it is, problems associated with it, causes, diagnosis and treatment. http://methodisthealth.com/urogen/neurblad.htm

Urology Disorders Home La Urologia - Los Trastornos Genitourinarios (en español) La Salud de la Próstata (en español) Clinical Services Urology Institute at The Methodist Hospital Methodist Diagnostic Hospital Methodist Sugar Land Hospital ... Newsletters! 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.

13. Neurogenic Bladder - Urological Disorders Health Guide neurogenic bladder. What is a neurogenic bladder? In a neurogenic bladder, thenerves 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. Neurogenic Bladder | Vhihealthe neurogenic bladder, a definition, description and look at the causes, symptoms, diagnosis, treatment and prognosis. http://www.vhi.ie/article/gale/100083765;$sessionid$K4SIDNIAAAPWFWCYSYVSM4Q

You are here: Home Neurogenic bladder Wright, Kathleen Dredge Definition Neurogenic bladder is a dysfunction that results from interference with the normal nerve pathways associated with urination. Description Normal bladder function is dependent on the nerves that sense the fullness of the bladder (sensory nerves) and on those that trigger the muscle movements that either empty it or retain urine (motor nerves). The reflex to urinate is triggered when the bladder fills to 300-500 ml. The bladder is then emptied when the contraction of the bladder wall muscles forces urine out through the urethra. The bladder, internal sphincters, and external sphincters may all be affected by nerve disorders that create abnormalities in bladder function. There are two categories of neurogenic bladder dysfunction: overactive (spastic or hyper-reflexive) and underactive (flaccid or hypotonic). An overactive neurogenic bladder is characterized by uncontrolled, frequent expulsion of urine from the bladder. There is reduced bladder capacity and incomplete emptying of urine. An underactive neurogenic bladder has a capacity that is extremely large (up to 2000 ml). Due to a loss of the sensation of bladder filling, the bladder does not contract forcefully, and small amounts of urine dribble from the urethra as the bladder pressure reaches a breakthrough point. Causes and symptoms There are numerous causes for neurogenic bladder dysfunction and symptoms vary depending on the cause. An overactive bladder is caused by interruptions in the nerve pathways to the bladder occurring above the sacrum (five fused spinal vertebrae located just above the tailbone or coccyx). This nerve damage results in a loss of sensation and motor control and is often seen in stroke, Parkinson's disease, and most forms of spinal-cord injuries. An underactive bladder is the result of interrupted bladder stimulation at the level of the sacral nerves. This may result from certain types of surgery on the spinal cord, sacral spinal tumors, or congenital defects. It also may be a complication of various diseases, such as syphilis, diabetes mellitus, or polio.

15. CHID Document collagen injection in children with neurogenic bladder dysfunction secondary to myelomenigocele (a developmental http://chid.nih.gov/netacgi/nph-brs?d=CHID&s4=neurogenic.de.+adj+bladder.de.&Sec

16. THE MERCK MANUAL, Sec. 17, Ch. 216, Myoneurogenic Disorders click here for navigation help. neurogenic bladder. In the neurogenic bladder,activity can be hypotonic (flaccid) or spastic (contracted). Etiology. 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. WorldMedicus A definition of neurogenic bladder followed by links to articles, reviews and editorials about this disorder. http://www.worldmedicus.com/servlet/Controller/$7006043b06d60000.sj/

18. OHSU Doernbecher - Genitourinary & Kidney Disorders neurogenic bladder, RELATED SERVICES. ·, Urology. What is a neurogenic bladder?neurogenic bladder may also be called neuropathic bladder. http://www.ohsuhealth.com/dch/health/urology/neurogenic.asp

Anatomy of the Urinary System Overview of Genitourinary Disorders Male Conditions Ambiguous Genitalia ... Nephrotic Syndrome Neurogenic Bladder Polycystic Kidney Disease (PKD) Prune Belly Syndrome Ureterocele and Ureteral Duplication Urinary Tract Infections (UTI) ... Online Resources You have selected the following Health topic: - Adolescent Medicine - Burns - Cardiovascular Disorders - Care of the Terminally Ill Child - Children Having Surgery - Common Childhood Injuries and Poisoning - Craniofacial Anomalies - Dermatology - Diabetes - Eye Care - Genetics - Growth and Development - High-Risk Newborn - High-Risk Pregnancy - Immunizations - Infectious Diseases - Mental Health - Neurological Disorders - Normal Newborn - Oncology - Orthopaedics - The Pediatrician - Pregnancy and Childbirth - Respiratory Disorders - Transplantations - Well-Care Visits Neurogenic Bladder RELATED SERVICES Urology What is a neurogenic bladder? Neurogenic bladder may also be called neuropathic 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, essentially paralyzing the bladder. What causes neurogenic bladder?

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. OHSU Health.com - Urology neurogenic bladder What is a neurogenic bladder? In a neurogenic bladder, thenerves that are supposed to carry these messages do not work properly. http://www.ohsuhealth.com/urology/neurblad.asp?sub=1

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