• Neurogenic Bladder—Child

    (Bladder, Neurogenic—Child; Neurogenic Incontinence—Child; Incontinence, Neurogenic—Child)

    Definition

    Neurogenic bladder is a problem with how the bladder works because of a nerve problem. Problems may include:
    • Bladder empties too often
    • Incontinence—bladder empties at the wrong time.
    • Urinary retention—unable to completely empty the urine
    • Urine leaks out of the overfilled bladder
    Bladder With Nerves, Female
    BJ00029 97870 1.jpg
    Copyright © Nucleus Medical Media, Inc.

    Causes

    Neurogenic bladder is caused by damage or injury to the nerves carrying messages between the bladder and the brain. The nerve damage makes it difficult to coordinate when the bladder should empty.

    Risk Factors

    Factors that increase your child's chance of neurogenic bladder include:
    • Birth defect that affects the spinal cord, such as spina bifida
    • Spinal cord injury
    • Tumors of the brain or spinal cord in the pelvic area
    • Infection of the brain or spinal cord

    Symptoms

    Symptoms may include:
    • Small amount of urine
    • Frequent urination
    • Dribbling urine
    • Inability to feel that the bladder is full
    • Straining during urination
    • Inability to urinate
    • Overflow of urine from a full bladder
    • Painful urination
    • Kidney injury from urine backing up into the bladder
    These symptoms may be caused by other conditions. If your child has any of these symptoms, talk to their doctor.

    Diagnosis

    You will be asked about your child’s symptoms and medical history. A physical exam will also be done. The doctor may ask you to keep a diary of how often your child empties his or her bladder and other urinary habits.
    Your bodily fluids may be tested. This can be done with:
    • Urine tests
    • Blood tests
    • Bladder function test
    Imaging tests may also be done to evaluate the bladder and urinary tract. These may include:

    Treatment

    Talk with the doctor about the best treatment plan for your child. Treatment options include the following:

    Medication

    The doctor may recommend that your child take antibiotics to prevent urinary tract infections.
    Other medication may also be used to improve bladder function.

    Catheters

    A thin tube, called a catheter, can be inserted to empty your child’s bladder. You can learn to do this for your child, or a trained healthcare professional may do it.

    Surgery

    If other treatments fail, surgery may be an option. The exact type of surgery will depend on what is causing the problems. Some surgical options include enlarging the bladder or creating an artificial sphincter to control urine flow.

    Prevention

    Most cases of neurogenic bladder cannot be prevented.

    RESOURCES

    National Association for Continence http://www.nafc.org

    Urology Care Foundation http://www.urologyhealth.org

    CANADIAN RESOURCES

    BC Health Guide http://www.bchealthguide.org

    Canadian/American Spinal Research Organization http://www.csro.com

    References

    Neurogenic bladder in children. Boston Children’s Hospital website. Available at: http://www.childrenshospital.org/health-topics/conditions/neurogenic-bladder. Accessed March 10, 2016.

    Neurogenic bladder. Children’s Hospital of Wisconsin website. Available at: http://www.chw.org/medical-care/urology/urology-overview/neurogenic-bladder. Accessed March 10, 2016.

    Neurogenic bladder. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T900602/Neurogenic-bladder. Updated March 26, 2016. Accessed September 29, 2016.

    Neurogenic bladder. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=9. Accessed March 10, 2016.

    Revision Information

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