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Neurogenic bladder is a condition in which the nerves that control bladder function are damaged or disrupted. This can result in either an overactive bladder that contracts involuntarily, causing leakage and urgency, or an underactive bladder that cannot empty properly, leading to urinary retention.

Neurogenic bladder can result from a wide range of neurological conditions, including spinal cord injury, multiple sclerosis, Parkinson's disease, stroke, diabetes with nerve involvement, and spina bifida. Any disease or injury affecting the nervous system pathways that control the bladder can potentially cause this condition.

Common symptoms include urinary urgency, frequent urination, urinary leakage or incontinence, difficulty starting urination, incomplete bladder emptying, and recurrent urinary tract infections. Symptoms vary depending on whether the bladder is overactive or underactive.

Diagnosis typically involves a review of medical history, a physical examination, urinalysis, and specialized urological tests such as urodynamic studies that measure bladder pressure and capacity. Imaging and neurological assessments may also be used to identify the underlying cause.

Treatment depends on whether the bladder is overactive or underactive. Anticholinergic medications such as oxybutynin and solifenacin, as well as beta-3 agonists like mirabegron, are commonly used to reduce involuntary contractions. Bethanechol may be prescribed to help an underactive bladder empty more effectively.

Yes. Bladder training schedules, timed voiding, fluid management, dietary adjustments to reduce bladder irritants such as caffeine and alcohol, and pelvic floor exercises can complement medication therapy. Your physician may also recommend clean intermittent catheterization if retention is a concern.

Doctronic uses an AI-powered evaluation to gather detailed information about your symptoms and medical history. A licensed physician then reviews your case, makes a clinical determination, and provides a personalized treatment plan including prescriptions when appropriate.

Yes. All care on Doctronic is provided by licensed physicians and is doctor-reviewed and audited for quality. The platform is HIPAA-compliant, and your health information is kept private and secure. Doctronic is available to adults 18 and older in any U.S. state.