Neurogenic bladder is a child

Description of neurogenic bladder in a child

Нейрогенный мочевой пузырь – нарушение функции мочевого пузыря вызванное нервными проблемами. The bladder may empty too often or at the wrong time. This is called incontinence. In other cases, the bladder may be unable to completely empty. This is called urinary retention. Urine can flow from full bladder.

Causes of neurogenic bladder in a child

This disorder is caused by problems with the nerves, extending between the bladder and the brain. In children, neurogenic bladder may be associated with a birth defect of the spinal cord, such as spina bifida. Also, it can cause a disorder:

• Spinal Cord Injury;
• Tumors of the brain or spinal cord in the pelvic area;
• Infection of the brain or spinal cord.

Risk factors for neurogenic bladder in a child

Risk factors include:

• The presence of a birth defect, which affects the spinal cord;
• Certain conditions (eg, early, swelling or infection), that affect the spinal cord.

Symptoms of neurogenic bladder in a child

Symptoms may include:

• A small amount of urine;
• Frequent urination;
• A weak flow of urine;
• The inability to feel, that the bladder is full;
• Tension during urination;
• Inability to urinate;
• Leakage of urine from the bladder;
• Urodynia;
• Urinary tract infections;
• Damage to the kidneys in urine;
• Stones in the kidneys.

These symptoms may be caused by other disorders. If your child has any of these symptoms, consult a doctor.

Diagnosis of neurogenic bladder in a child

The doctor will ask about your symptoms and medical history of the child, and perform a physical examination. He may ask to keep a diary, where you want to celebrate, how often the child to urinate. If the doctor says, that the symptoms may be caused by nerve problems, your child may need tests, such as:

• Анализ мочи – чтобы искать признаки инфекции или проблемы с почками;
• Анализы крови – чтобы искать доказательства проблем с почками;
• Тесты функции мочевого пузыря – чтобы оценить, how well the muscles of the bladder respond to filling and emptying it.

Sometimes it can be assigned to Medical Imaging Tests, eg:

• Рентген – обследование, which uses X-rays, to take a picture of inside the body;
• УЗИ – тест, which uses sound waves to study the renal, ureter and / or bladder;
• Компьютерная томография – используется рентген и компьютер, to make detailed images of the kidneys, ureter and / or bladder;
• Магнитно-резонансная томография – использование мощных магнитов и радиоволн для выполнения снимков головного и/или спинного мозга.

Treatment of neurogenic bladder in a child

Treatment options include the following:

Medication

Your doctor may recommend, the child took antibiotics to prevent urinary tract infections.

Catheter

It can be inserted into a thin tube, called a catheter, to release the child from the bladder of urine. You can be trained to perform the procedure themselves, or it can be carried out by a qualified technician.

Operation

If other treatments have been unsuccessful, the operation can be carried out. For Example, операция может быть необходимой для увеличения мочевого пузыря или создания искусственного сфинктера.

Prevention of neurogenic bladder in a child

In most cases, the appearance of neurogenic bladder cannot be avoided. You can help your child avoid spinal cord injuries, taking certain precautions, Putting it like a seat belt in the car.