Dysfunction of the bladder by a neurogenic type is a violation of the urinary function, which is due to the defeat of the central nervous system. This violation can not be regarded as a separate disease. It is a so-called collective syndrome, which includes conditions arising from congenital or acquired lesions of various levels of the nervous system that directly innervate the bladder.
Symptoms
The main manifestations, symptoms, observed with neurogenic dysfunction of the bladder, are:
- pathological retention of urine;
- urinary incontinence .
With true urinary incontinence, the patient does not have sensations of overflow of the bladder, therefore can not keep urine on its own. Accumulation of urine does not occur, and it is constantly excreted in droplets.
In other types of bladder innervation disorders, a feeling of over-filling may appear, and as a result, frequent urge to act as an urination.
Since bladder de-innervation leads to severe trophic disturbances, the disease is often complicated by a disease such as interstitial cystitis, which leads to wrinkling and sclerosing of the walls of the bladder.
Diagnostics
Of great importance in diagnosing the syndrome of a neurogenic bladder is laboratory diagnosis, which is reduced to a general analysis of urine, analysis of urine according to Zimnitsky, a general blood test. Also conduct urethrocystography, ultrasound of the kidneys and the bladder itself.
Treatment
The process of treating neurogenic bladder dysfunction completely depends on what is causing the violation of its innervation. Therefore, the treatment of this disease is a complex consisting of electrical stimulation,
The main of these directions is medical, which is carried out on medical appointments and under its control.
When the urine is delayed and not allocated, the bladder is drained, for which a permanent catheter is installed. With the purpose of renewal of the disturbed reflex emptying, the catheter is clamped for 2-3 hours.
Also, in order to avoid the infection, carry out preventive measures, which are accompanied by a course of treatment with antibacterial drugs.