For someone with a neurogenic bladder, the nerves that control the working of the urinary bladder do not function normally. There are some muscles that help tighten or release the bladder as per the signals received from the brain. Under certain conditions like diabetes, long-standing infections, brain or spinal cord injuries, and structural abnormalities, the bladder control mechanism gets impaired, which may lead to incontinence and more.
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Is it common to get UTI after bilateral ureteric surgery?
Query: Hi doctor, My 19 months old daughter has suffered with for around seven months. Then, we had an MCU test and it was diagnosed that she had grade 5 reflux in right side and grade 4 in left side. Her ultrasound showed she had 40 cc urine residual. Her doctor suggested ureteric bilateral surgery. She h... Read Full »
Answer: Hi, Welcome to icliniq.com. Surgery to correct reflux will not prevent UTI (urinary tract infection). It will only prevent bacteria from reaching kidneys, thereby preventing renal damage. Yes, UTI can still occur after correction of reflux. Other factors which predispose to UTI must be ruled out, ... Read Full »
I need a second opinion on the treatment done for a child with a neurogenic bladder. Please guide.
Query: Hi doctor, A 10-year-old boy was already diagnosed with Bardet- Biedl syndrome (BBS), CKD (chronic kidney disease), hypogonadism, and neurogenic bladder complained of recurrent urinary tract infection and constipation. The child got Mitrofanoff appendicovesicostomy ten days back. I have attached the... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through the discharge summary (attachment removed to protect patient identity). I understand that appendicular mitrofanoff was done after the diagnosis of the Neurogenic bladder. I want to let you know that mitrofanoff is the surgery in cases of neurogenic bl... Read Full »
I have had issues emptying my bladder due to poor urine flow for six years. Why?
Query: Hi doctor,I am a 35-year-old male. I have been having issues emptying my bladder due to a very poor urine flow for five to six years. I have to go to the toilet very frequently after drinking. I cannot empty my bladder at any single time. It has to be little drops at a time, every 15 minutes. My str... Read Full »
Answer: Hi,Welcome to icliniq.com.I understand your concern.You mentioned cystoscopy. According to the history you gave, it seems you have a neurogenic bladder. The normal power of the bladder to evacuate itself went away, and either you have to strain during micturation, or you have to apply suprapubic com... Read Full »
How to treat bladder pain presenting with poor bladder control?
Query: Dear doctor Sorry post so long but have other complex healthy issues I felt you need to know before answering my query. I would very much appreciate your patience in reading such a long post but today feeling desperate. Two years ago I started getting pain in my bladder, groin and urethra. I ha... Read Full »
Answer: Hi and thank you very much for consulting cliniq Your post is interesting. 58 years female complains of tingling sensation while peeing and pain due bladder spasms. Multiple trials of antibiotics failed. Urethral dilatation was done. Pain is getting worse. Peeing spray in all directions. Difficult t... Read Full »
I am getting recurrent infections after bladder wall removal. Why?
Query: Hi doctor, I had an operation three years ago, and a part of my bladder wall was removed. I had surgery around three years ago, where a urologist removed a part of my bladder wall. It has never been repaired, and I need it to be repaired. I have had ongoing sepsis and infection with routine antibio... Read Full »
Answer: Hi, Welcome back to icliniq.com. Thanks for consulting with Icliniq Overviewing your case, it seems to me that you got neurogenic bladder secondary to MS (multiple sclerosis). The neurogenic bladder will have high pressure and will lead to bilateral reflux over time, which will lead to urinary in... Read Full »
What could be the reason for the urge to urinate and pass stool during shortness of breath?
Query: Hello doctor, I get out of breath easily causing pressure to urinate or pass stool, or both. This has been going on over a year I have been through every test and specialist I know of. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. You have incontinence to both urine and stool. This is very likely a neurogenic cause. I would like to know more details. Do you have Diabetes, spine surgery or trauma? Is there walking difficulty, numbness of limbs? Is the stool passed soft or hard? How many times d... Read Full »
Can cell therapy help a patient with neurogenic bladder?
Query: Hi doctor, My daughter, who is 22 years old, has neurogenic bladder. Her height is 4'10" and weight is 53 kg. She is suffering from voiding dysfunction and constipation. She underwent surgery for spinal lipoma when she was 45 days old. Her bladder trabeculated and grade 3 reflux. Her right kidney is... Read Full »
Answer: Hi. Welcome to icliniq.com. We are here to help you. Yes, your daughter needs treatment. I need to know how she is doing without medicines. How many times in the night does she pass urine? Read Full »
Why am I having pain, numbness and bladder control issues?
Query: Hi doctor, I am a 27-year-old male and have pain, numbness and bladder control issues. Kindly guide me. Read Full »
Answer: Hi, Welcome to icliniq.com. Pain numbness and bladder control issues point towards spine pathology. If you have done some MRI, then please upload the images else I would recommend a dorsolumbar spine MRI. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-docto... Read Full »
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