Neurogenic bladder is a serious urological condition caused by nerve dysfunction, leading to problems with bladder control, urination, and storage. It can result from conditions such as spinal cord injuries, stroke, multiple sclerosis, Parkinson’s disease, diabetes, or pelvic surgeries. Under the care of Dr. Pruthvi Raj Honnaiah, patients receive comprehensive evaluation and advanced neural testing to diagnose and manage neurogenic bladder effectively.

Symptoms of Neurogenic Bladder

The symptoms depend on whether the bladder is overactive (spastic) or underactive (flaccid):

• Overactive (Spastic) Bladder:
  • Frequent urination (urgency).
  • Urge incontinence (leakage before reaching the toilet).
  • Difficulty emptying the bladder completely.
  • Painful urination or recurrent urinary tract infections (UTIs).
• Underactive (Flaccid) Bladder:
  • Weak or absent urge to urinate.
  • Difficulty initiating urination.
  • Urinary retention (incomplete emptying).
  • Increased risk of infections and bladder stones.

Advanced Evaluation & Neural Testing

A detailed neurological and urological evaluation is necessary to diagnose the cause and severity of neurogenic bladder. Dr. Pruthvi Raj utilizes:

• Urodynamic Studies: Measures bladder pressure, urine flow, and sphincter activity.
• Electromyography (EMG): Evaluates nerve function and muscle activity in the bladder and pelvic floor.
• Video Urodynamics: Combines imaging with bladder function tests for detailed analysis.
• MRI & CT Scans: Detects spinal cord or brain abnormalities affecting bladder control.
• Cystoscopy: A camera-assisted test to examine the bladder for structural issues.

Treatment Options for Neurogenic Bladder

The treatment plan is tailored based on the type of dysfunction:

• Medication & Lifestyle Modifications:
  • Anticholinergic medications to relax an overactive bladder.
  • Alpha-blockers to ease urine flow in cases of retention.
  • Botox injections to reduce involuntary bladder contractions.
  • Dietary & fluid management to prevent incontinence and infections.
• Catheterization & Bladder Training:
  • Intermittent self-catheterization (ISC) for patients with urinary retention.
  • Bladder training techniques to regain control over urination patterns.
• Surgical Interventions (for severe cases):
  • Bladder Augmentation (Enlargement Surgery): Increases bladder capacity in cases of overactivity.
  • Urinary Diversion Surgery: Creates an alternative pathway for urine drainage when bladder function is lost.
  • Sacral Neuromodulation (SNM): A minimally invasive therapy that stimulates nerves to restore bladder function.

Why Choose Dr. Pruthvi Raj for Neurogenic Bladder Care?

With expertise in urological disorders and advanced diagnostic techniques, Dr. Pruthvi Raj Honnaiah offers comprehensive evaluation and tailored treatment plans to improve bladder control and prevent complications. His patient-centered approach ensures effective symptom management, better quality of life, and long-term relief.