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neurogenic bladder
Discussion in 'All Categories' started by dr asif - May 26th, 2012 9:26 pm.
dr asif
dr asif
my only son aged 15 have neurogenic bladder.
-i want to avoid him from kidney failure-
plz tell best treatment for him?
and what about artificial sphincter?
is it sucess in every person?
any coplication of AS?
lot of thans
re: neurogenic bladder by Dr J S Chowhan - May 30th, 2012 12:13 pm
#1
Dr J S Chowhan
Dr J S Chowhan
Dear Dr Asif

A neurogenic bladder is an abnormally functioning bladder, either overactive or underactive, brought on by damage to the nerves controlling it.

This damage may be brought on by trauma to the spinal-cord or diseases that affect the central nervous system.

Treatments for neurogenic bladder may include physical-psychological, electrical stimulation and drug therapy; however, in severe cases the next surgical procedures may be necessary. Muscle that controls the flow of urine out of the bladder is known as the urinary sphincter. Harm to the nerves around this muscle may cause the sphincter not to work correctly causing leakage or incontinence.


In this instance surgical implantation of an artificial sphincter might be necessary. A man-made sphincter includes a cuff that is surgically inserted around the urethra, a balloon that is placed directly under the stomach muscles and an external pump to inflate the cuff.

Once the cuff is inflated it puts pressure around the urethra closing them back. When patient prepared to void, deflate the cuff while using pump and the urine will flow.

Mechanical failure of the artificial urinary sphincter is most often brought on by lack of fluid in the system. Additionally, it may occur due to obstruction of flow due to debris, airlock, blood, or crystallized material. Care at the time of device filling and implantation to avoid air entrapment and presence of debris can help to eliminate the chance of a number of these problems.

Obstruction because of kinking has become rare due to the introduction of kink-resistant tubing within the late 1980s. The general life expectancy of the artificial urinary sphincter is 10 years, having a 5-year device survival rate of 75%.

Since the artificial urinary sphincter is a synthetic device, it is a risk factor for infection. The overall chance of infection is reported to be 2-3% for initial artificial urinary sphincter placement. Tissue atrophy results from local tissue ischemia round the cuff.

Tissue atrophy, in turn, causes poor mucosal coaptation and incomplete urethral occlusion. Patients who have been initially continent with the device complain of gradually increasing incontinence over months as well as years and report having to squeeze the pump more often to deflate the cuff and void.

If the cuff inflates and deflates normally but the patient remains incontinent, tissue atrophy ought to be suspected.

So in summary Artificial sphincter is not very successful procedure.

With regards

Dr J S Chowhan
re: neurogenic bladder by zxxcasuy - May 31st, 2012 2:07 pm
#2
zxxcasuy
zxxcasuy
The specific symptoms depend on the cause, and may include:

Symptoms of overactive bladder:

Having to urinate too often in small amounts

Problems emptying all the urine from the bladder

Loss of bladder control

Symptoms of underactive bladder:

Bladder becomes too full and you may leak urine

Problems starting to urinate or emptying all the urine from the bladder

Unable to tell when the bladder is full

Urinary retention
re: neurogenic bladder by EnuppySmurn - Jun 1st, 2012 1:19 pm
#3
EnuppySmurn
EnuppySmurn
Very nice information about neurogenic bladder
re: neurogenic bladder by ClouttHowColi - Jun 1st, 2012 1:35 pm
#4
ClouttHowColi
ClouttHowColi
Several muscles and nerves must work together for your bladder to hold urine until you're ready to empty it. Nerve messages go back and forth between the brain and the muscles that control bladder emptying. If these nerves are damaged by illness or injury, the muscles may not be able to tighten or relax at the right time.

Disorders of the central nervous system commonly cause neurogenic bladder. This can include:

Alzheimer's disease

Birth defects of the spinal cord (meningomyelocele)

Brain or spinal cord tumors

Multiple sclerosis

Parkinson disease

Spinal cord injury

Stroke recovery

Damage or disorders of the nerves that supply the bladder can also cause this condition. This can include:

Alcoholic neuropathy (nerve damage due to long-term, heavy alcohol use)

Diabetic neuropathy (nerve damage due to long-term diabetes)

Nerve damage due to pelvic surgery

Nerve damage from a herniated disc
re: neurogenic bladder by offeroholve - Jun 1st, 2012 5:38 pm
#5
offeroholve
offeroholve
I dont usual comment, but that was a great post. cheers!
re: neurogenic bladder by dr asif - Jun 2nd, 2012 9:15 am
#6
dr asif
dr asif
respeced sir
thanks frou your reply.
----my son s neurogenic bladder is due to meningomyelocele.
nowdaydays he is suffering sever uti.and now start cic
------ultrasound shows hydronephrosis n dilate ureter -
sir--can your hospital help me son n neurogenic bladder-
--plz save him from kidney failure n plz save his life-
i want to meet u if u can help my son-
re: neurogenic bladder by dr asif - Jun 2nd, 2012 9:17 am
#7
dr asif
dr asif
respeced sir
with regard
thanks frou your reply.
----my son s neurogenic bladder is due to meningomyelocele.
nowdaydays he is suffering sever uti.and now start cic
------ultrasound shows hydronephrosis n dilate ureter -
sir--can your hospital help me son n neurogenic bladder-
--plz save him from kidney failure n plz save his life-
i want to meet u if u can help my son-
re: neurogenic bladder by soneovnx - Jun 2nd, 2012 1:17 pm
#8
soneovnx
soneovnx
Neurogenic bladder is a problem in which a person lacks bladder control due to a brain or nerve condition.
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