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In the general term of "Neurogenic Bladder" we
include any type of urinary bladder dysfunction
that is presented in persons with problems from the
nervous system.
The neurogenic bladder can be presented with various
forms, most frequent than which they are or the
Detrusor Overactivity (that is to say the
uncontrollable spasms of urinary bladder that lead
to incontinence of urine), or Detrusor-external sphincter
dyssynergia (non relaxation of
urethral sphincter during urination as is physiologic).
The diagnosis of type of neurogenic bladder and the
extent of neurogenic damage can be done with a
detailed
neurophysiologic study,
with
Urodynamics,
or with
Videourodynamics.
The treatment of neurogenic bladder is either
conservative (Drugs, intermittent self catheterization) or surgical.
In the surgical interventions are included the
INTERSTIM device insertion (Neuromodulation),
Clostridium Botulinum toxin A (BOTOX, DYSPORT)
injections in the wall of urinary bladder
wall or urinary sphincter,
and
augmentation cystoplasty.
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