NEUROGENIC BLADDER

share
Last Updated : 1/3/2011
Font-size :  
Kumud P Mehta
More..
Detailed history of age of bladder and bowel control, type of voiding problems. Daytime and nighttime enuresis should be noted. Incontinence or enuresis denotes hyperactive bladder contraction or small capacity bladder. Incontinence may occur during daytime,whilst giggling, laughing etc. Urinary retention may be due to increased tone of sphincter with poor relaxation ex. Detrusor - sphincter dyssynergia (DSD). Continuous dribbling is due to continuous relaxation of sphincters, usually caused by spinal cord lesions affecting cauda equina. Daytime incontinence in children above 8 years of age without obvious neurologic cause needs complete

work up of neurogenic bladder

. Family history of incontinence may be present.

Detailed examination of back to detect nevus, hair, lump, dimple which indicates abnormalities of spine like spina bifida, lipomeningocele, sacral agenesis which can be diagnosed by simple x-ray of spine followed by MRI to detect spinal cord compression and/or tethering requiring surgery. Examination of genitals, neurological examination for paraplegia, hydrocephalus and tone of anal sphincters are important points.



Contributor Information and Disclosures Kumud P Mehta
Consultant Pediatrician & Pediatric Nephrologist, Jaslok Hospital & Research Centre, Bai Jerbai Wadia Hospital for children, Mumbai, India


First Created : 1/3/2001
References
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.