Nerve disease and bladder control have something to do with each other. The urinary bladder is responsible for urine storage and voiding. For it to function well, nerves and muscles must work together to hold the urine stored in your bladder and release it at the right time.
Our bladder and nerves connect because the nerves are responsible for carrying messages between your brain and the bladder. Thus having a nerve problem will affect bladder control if the nerves don’t work.
TYPES
There are three kinds of bladder problems caused by nerve disease:
In this article, we will tackle treating overactive bladder and sphincter muscle control problems without requiring a surgical procedure.
SYMPTOMS
The nerve damage transmits the signals to the bladder at the wrong timing which may cause the muscle to squeeze without having a signal. The symptoms may include:
Overactive bladder
TREATMENT
Treating overactive bladder may include the following:
Mainly, bladder training goals are increasing the amount of time between emptying your bladder and the number of fluids your bladder can hold.
Your doctor may recommend recording your fluid intake, trips to the bathrooms, and episodes of urine leakage. These activities will indicate patterns and suggest you do time voiding. Bladder training may also include Kegel exercise to strengthen the muscles found under your uterus, bladder, and bowel.
There are two methods doctors use concerning electrical stimulation:
Mild electrical pulses can stimulate the nerves controlling the bladder and sphincter muscles. Pulses are given through the anus or by using patches, depending on the treatment plan.
Another method is a minor surgical procedure placing the electric wire near the tailbone and attached to a permanent stimulator under your skin. The Food and Drug Administration (FDA) approved such a device to treat urge incontinence, urgency-frequency syndrome, and urinary retention in patients for whom other treatments have not worked.
Botox (Botulinum toxin type A) injection is commonly associated with cosmetic treatment. However, urologists have found botox injection into the sphincter to treat voiding dysfunction. Additional findings also found that the toxin blocks spasms like eye ticks and relaxes patients’ muscles with multiple sclerosis. Urologists found that injecting botox into the tissue surrounding the sphincter can decrease voiding pressure and post-void residual volume. More experts are still researching the safety and effectiveness of botox injection into the sphincter, which may get FDA approval in the future.
The drugs used are the following:
Anticholinergics. These drugs can relax bladder muscles and prevent bladder spasms. Side effects of these types of drugs include dry mouth. However, some doses may cause blurred vision, constipation, palpitations, and flushing. Examples of these drugs are the following:
Antidepressants (imipramine hydrochloride). These drugs relax the bladder muscles. Side effects are fatigue, dry mouth, dizziness, blurred vision, nausea, and insomnia. Treating poor control of sphincter muscles.
Drugs that reduce muscle spasms or tremors relaxes the sphincter. These drugs include the following:
Side effects: low blood pressure, dizziness, fainting, and nasal congestion
Note: All of these drugs calms the urethral sphincter in people whose sphincter does not relax well independently.
Overview and FactsTypes and SymptomsDiagnosis & MedicationsOverview and Facts Juvenile idiopathic arthritis (JIA), formerly known as juvenile rheumatoid arthritis, is [...]
Overview and FactsTypes and SymptomsDiagnosis & MedicationsOverview and Facts Juvenile polyposis syndrome (JPS) is a rare genetic disorder characterized by [...]
Overview and FactsTypes and SymptomsDiagnosis & MedicationsOverview and Facts Juvenile pilocytic astrocytoma (JPA) is a relatively common type of brain [...]
