Neurogenic Bladder

Question 1

What is neurogenic bladder?

Answer 1

Condition that causes problems with bladder control
Most often happens in people who have a spinal cord injury, MS, or CVA

Question 2

What are symptoms of neurogenic bladder?

Answer 2

Urinate small amounts more often than usual
Have problems starting to urinate or emptying their bladder
Lose bladder control
Have problems knowing if their bladder is full
Have repeated UTIs

Question 3

For neurogenic bladder, attempt to work on

Answer 3

Bladder retraining - going to bathroom at scheduled times you make yourself go every hour even if you feel like you don’t need to and then you increase the amount of time you wait between bathroom visits

Pelvic floor muscle training

Question 4

How is neurogenic bladder treated?

Answer 4

Oxybutynin to help relax the bladder
Catheter

Question 5

What two functions of the bladder does spinal cord injury affect?

Answer 5

Storage and emptying of urine

Question 6

May need CIC every

Answer 6

4 hours, bladder volume of less than 500 mL of urine is targeted in order to avoid bladder distention and infections

Question 7

For neurogenic bladder, what study should you do?

Answer 7

Urodynamic study

Question 8

What medications can be used for neurogenic bladder?

Answer 8

Oxybutynin and Tolterodine decrease bladder tone, suppress bladder contractions, and may reduce urinary frequency and incontinence

Question 9

After spinal cord injury, sexual dysfunction can occur and which medications may need to be prescribed?

Answer 9

Sildenafil, Vardenafil, or Tadalafil

Question 10

For a patient with a history of neurogenic bladder, what questions do you ask?

Answer 10

Recent infections?
Hematuria?
Flank pain?

Question 11

What do you check with a patient with neurogenic bladder at each visit?

Answer 11

PVR

Question 12

If neurogenic bladder patient is symptomatic can consider ordering

Answer 12

Urodynamic study