Neurogenic bladder in children

This kind of disorder, like a neurogenic bladder, is common in children. According to statistics, about 10% of all babies are subject to this violation. Let's consider it in more detail and dwell in more detail on the causes, signs and therapy of a neurogenic bladder in children.

What is this disease and why does it arise?

For a given type of disorder is understood the disease, accompanied by dysfunction of the bladder, which is due to a malfunction of the nervous regulation of the process of urination. As a result, both the reservoir (accumulative) and evacuation (excretory) functions of the organ itself suffer.

As you know, the mature mode of urination (controlled by night and day) in children is formed to 3-4 years. In regulation, its direct involvement is taken by the centers of the brain, as well as the lumbosacral spinal cord.

The causes of the development of neurogenic bladder dysfunction in children are quite numerous. However, at the heart of all of them lie neurological disorders of various levels, which eventually lead to insufficient coordination of the degree of activity of the detrusor itself or the external sphincter of the bladder itself.

As a rule, this kind of phenomenon develops as a consequence:

• organic lesion of the central nervous system (congenital malformations);
• trauma to the pelvic organs;
• tumor and inflammatory diseases of the spine, brain and spinal cord ( birth trauma , cerebral palsy, cerebrospinal hernia);
• hypothalamic-pituitary insufficiency;
• delay in the maturation of the brain centers;
• dysfunction of the autonomic nervous system.

It is worth noting that more often this type of disease is observed in girls. This fact is due to the fact that they have a higher estrogenic saturation, which in turn increases the sensitivity of receptors that are in the detrusor itself.

What are the symptoms of a neurogenic bladder in children?

This type of disorder is characterized by various disorders of the act of urination, the frequency of which is directly related to the level of damage to the nervous system.

In the neurogenic hyperactive bladder, the following symptoms are usually noted in children, indicating a violation:

• frequency of urination more than 8 times a day;
• frequent urge to urinate;
• urinary incontinence;
• the appearance of enuresis.

Separately it is necessary to say about such a kind of violation, as a postural neurogenic bladder. This form is manifested when the child's organism moves from the horizontal to the vertical position, and is characterized by diurnal pollakiuria (frequent urination). At the same time there is no disturbance of the night accumulation of urine.

How to cure a neurogenic bladder in a child?

Therapeutic measures for this disease include medication, as well as non-drug treatment. In rare cases, surgical intervention can be performed.

Children with this disease show compliance with the protective regime, which includes additional sleep, walks, the exclusion of situations that traumatize the psyche of the child.

With increased tonus of detrusor muscles, M-cholinoblockers are prescribed (Atropine, children over 5 years of age - Oxibutinin), antidepressants (Melipramine), calcium antagonists (Therodinol).

For the treatment of a neurogenic bladder with night enuresis in children who are already 5 years old, an analogue of the pituitary hormone Desmopresin can be prescribed.

For the prevention of bladder infections, uroceptics can be administered in very small dosages. Among them are Furagin, nalidixic acid.