Free Medical Advice Related to Laparoscopic Surgery

Neurogenic bladder
Discussion in 'All Categories' started by Linda - Sep 25th, 2012 4:57 am.
Linda
Linda
I have an underactive neurogenic bladder, for which the specialists I have seen (neurologist, urologist) have been unable to find a cause for. I catheterise 4 or 5 times per day. I have no sensation at all of a full bladder except when it gets totally full, then I can only pass a very small amount of urine. The amount of urine retained before I began catheterisation was slightly under 1 litre. I have never had urine incontinence. I have a central spinal disc protrusion L5/S1 with narrowing of the foramen and root contact at L5/S1 and also at L4/L5, and my voiding problems seem to originate from the time my back problems commenced, as I began at the same time to have recurrent urine infections. The neuro-surgeon dismisses the disc degeneration as a cause for the neurogenic bladder because nerve conduction tests show as normal down my legs and I have never had sciatica. Echography shows everything in the correct place, the bladder, the uterus etc, and the only anomaly showing is a 13mm fibroid, hypo-echogenic posterial. I am post-menopausal (for 2 years) and suffered from very heavy periods (with large clots)for several years before they finally stopped. I have been taking HRT for about two years. My question essentially is - could the fibroid have anything to do with the neurogenic bladder?
re: Neurogenic bladder by Sadhana - Oct 1st, 2012 10:07 am
#1
Sadhana
Sadhana
Dear Linda
I have discussed your case with our urologist and neurosurgeon. Fibroid generally does not create neurogenic bladder. However, this usually involves stress incontinence from the fibroids pushing down on the bladder if they are located just behind the bladder. Neurogenic bladder is its own problem. But as you have mentioned that you have abnormal period you can think about hysterectomy. You have not mentioned your age and children you have, but removing the uterus may be tried. 13 mm fibroid frankly speaking does not have much pressure effect but it may be pressing a nodal point in the bladder autonomaous symptom. We can not prove this theory but this is the theory on which chinese do the accupuncture.

Wishing you all the best.

With regards
Sadhana
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