Neurogenic Bladder
Pronunciation: nyoo-roh-JEN-ik BLAD-er
Bladder dysfunction caused by neurological damage that disrupts the normal neural control of micturition, resulting in failure to store or empty urine appropriately.
Full Definition
Neurogenic bladder is a broad clinical term encompassing a spectrum of voiding dysfunctions arising from lesions in the brain, spinal cord, or peripheral nerves—including those caused by SCI, TBI, multiple sclerosis, and spina bifida. In PM&R, it is a critical management issue because unmanaged neurogenic bladder leads to urinary tract infections, upper urinary tract damage, and quality-of-life impairment. Documentation appears in SCI rehabilitation protocols, urodynamic reports, and continence care plans. Editors should distinguish between upper motor neuron (UMN) neurogenic bladder (reflexic/overactive) and lower motor neuron (LMN) neurogenic bladder (areflexic/underactive), as these subtypes dictate different management strategies. The term should not be confused with 'overactive bladder', which is not necessarily neurological in origin.
Usage
Usage note: Specify UMN vs. LMN subtype when clinically documented. Do not substitute 'overactive bladder' unless confirmed by urodynamic findings independent of neurological causation.
In Context
- "Urodynamic studies confirmed upper motor neuron neurogenic bladder with detrusor overactivity and detrusor–sphincter dyssynergia." — Urodynamic report for SCI patient
- "A comprehensive neurogenic bladder management program was established prior to discharge, including CIC and anticholinergic pharmacotherapy." — Spinal cord injury rehabilitation discharge summary