Urology and Andrology

Neuro-Urology

 Neuro-Urology

The nerves and muscles of the urinary system have to efficiently work together for the bladder to hold urine and release at an appropriate time. Nerves transmit messages back and forth from the brain and spinal cord to the bladder. When conditions of the nervous system affect the bladder, it is called neurogenic bladder Neurogenic bladder can result in two different types of bladder control problems: difficulty voiding (underactive bladder) or incontinence (overactive bladder). Other common symptoms include kidney stones and urinary tract infections (UTIs).

Therapy for nervous system disorders includes clean intermittent self-catheterization of the bladder, anticholinergic drugs, injection of Botulinum toxin into the bladder wall and advanced and less commonly used therapies such as sacral neuromodulation. Less marked neurological abnormalities can cause urological disorders as well for example, abnormalities of the sensory nervous system are thought by many researchers to play a role in disorders of painful or frequent urination.