Neurogenic Bladder

Kumud P Mehta
Neurogenic Bladder - Treatment
Management of neurogenic bladder is complex and needs a team approach. In a common situation such as meningomyelocele pediatric urologist, nephrologist neurophysician, physiotherapist, radiologist with dedication are required for the comprehensive treatment.

Management includes:
- Prevention and control of urinary tract infection with appropriate long term drug therapy.
- Clean intermittent catheterization to evacuate bladder completely is advocated to reduce backpressure and prevent residual urine. Parents can be trained to perform CIC 3-4 times a day at home.
- Use of drugs to relax hypercontractile detrusor muscle ex. Oxybutynin or to increase contraction of hypocontractile bladder muscles use of cholinergic agents like Bethanachol can help to certain extent. Relaxation of urethral sphincter may be different and alpha blockers like Prazosin may be useful. These drugs should be used after urodynamic evaluation by experts.
- Rarely in selected cases surgery is indicated to augment the bladder capacity and or tighten the urethral sphincter.
- Bladder training programs using biofeed methods should be tried.

Neurogenic Bladder Neurogenic Bladder 01/03/2001
<< Neurogenic Bladder - Investigations
ask a doctor
Ask a Doctor
Disclaimer: The information given by 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.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0