Spastic neurogenic bladders refer to a medical condition characterized by disruptions in the normal functioning of the bladder due to a neurological disorder. The term "spastic" indicates that the muscles that control the bladder's function experience increased tension and spasm, leading to involuntary contractions. "Neurogenic" refers to the involvement of the nervous system in the development of the condition.
Individuals with spastic neurogenic bladders often experience a loss of control over urination due to the abnormal muscle contractions. These contractions can cause urine to leak involuntarily or result in the inability to empty the bladder properly. The condition is commonly associated with neurological conditions like spinal cord injury, multiple sclerosis, cerebral palsy, or stroke, which impair the communication between the brain and the bladder.
Symptoms of spastic neurogenic bladders include frequent urination, urgency, increased bladder pressure, and the presence of residual urine after voiding. If left untreated, the condition can lead to complications such as urinary tract infections, bladder stones, and kidney damage.
Management of spastic neurogenic bladders typically involves a multidisciplinary approach that may include medication, catheterization techniques, and behavioral modifications. Medications aim to relax the overactive muscles and improve bladder control. For individuals who cannot empty their bladder completely, intermittent catheterization or the use of a permanent urinary catheter may be recommended. Behavioral modifications, such as scheduled voiding and pelvic floor muscle exercises, can also be helpful in managing the condition.
In summary, spastic neurogenic bladders refer to a bladder dysfunction caused by neurological disorders, characterized by increased muscle tension and involuntary contractions, leading to urinary incontinence and potential complications.
