Neurogenic Bladder
- Bladder dysfunction from CNS neurologic disorder or trauma to CNS
- Tumors, SCI, TBI, ALS, CVA, MS, diabetic neuropathy, chronic UTI's
- Failure to store, empty or both.
- Lack of impulse coordination in the nervous system.
- Dysfunction of bladder or urethra
Causes of Urinary Retention
- Antihypertensives - Aldomet, Apresoline
- Anti-Parkinsonian drugs - Leva dopa
- Antihistamines
- Anticolinergics- Atropine
- Antispasmodics
- Sedatives and spinal anesthesia
- Anesthesia
- Urethral obstruction
- Psychological
- Symptoms = urination on exertion, urination without sensation, chronic UTI's, inability to actively control bladder and urination.
- Medical treatment may include hormone replacement therapy and medications
PT Treatment for Neurogenic Bladder
- Pelvic floor mm strengthening exercises
- Kegel is the most commonly known exercise and is most effective in stress incontinence
- E-stim
- Used to stimulate or decrease over activation of pelvic floor and sphincter mm: electrodes are placed internally
- Biofeedback
- Timed voiding: coordinated with E-stim and biofeedback to retrain recognition and coordination of neurological components.
- "Pelvic PT" and "Womens' Health" are often terms used in PT to treat disorders associated with the pelvic floor
- PT for treating conditions of the pelvic floor is an area of specialization for female and male physical therapy providers
