Describe types of neurogenic bladder and overactive bladder syndrome

Question 1

Neurogenic bladder

Answer 1

Functional obstruction caused by an interruption of the nerve supply to the bladder which negatively impacts the functionality of the bladder

Question 2

Neurogenic bladder: dyssynergia

Answer 2

• Loss of coordinated neuromuscular contraction
• Typically when bladder is full, the weight of the urine tells sensors need to urine
• These sensors are not working correctly

Question 3

Neurogenic bladder: dyssynergia - Detrusor hyperreflexia-overactive, also Overactive bladder syndrome (OBS)

Answer 3

• frequency, urgency, nocturia
• Bladder thinks it is full and has a sense of urgency and frequency and nocturia [frequent urination at night]
• Have to go to the bathroom all the time

Question 4

Neurogenic bladder: dyssynergia - Detrusor areflex-underactive

Answer 4

• Bladder doesn’t recognize it is full so bladder is distended
• Results in abdominal distention
• Incontinence from bladder not being to hold it more and from incomplete emptying

Question 5

Bladder wall loses some of its functionality and elasticity

Answer 5

can’t give a good push and empty contents