Neurogenic Bladder

Medically reviewed by Drugs.com. Last updated on Apr 6, 2025.

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AMBULATORY CARE:

Neurogenic bladder

is a condition that causes loss of bladder function. It is usually caused by disease or by damage to your nervous system. Neurogenic bladder may cause urinary incontinence (trouble controlling urination) or urinary retention (trouble urinating).

Common signs and symptoms:

• Loss of feeling that your bladder is full
• Urinary incontinence
• Urinary frequency (urinating often)
• Urinary urgency
• Urinating a small amount or not completely emptying your bladder
• Urine that dribbles out or leaks
• Urinary tract infections (UTI) that come back even after treatment

Seek care immediately if:

• You cannot urinate.
• You see blood or clots in your urine.
• You have severe back or abdominal pain that does not go away with treatment.

Drugs used to treat this and similar conditions

Treatment options

The following list of medications are related to or used in the treatment of this condition.

• Botox
• solifenacin
• VESIcare LS
• Levsin SL
• Levsin

View more treatment options

Call your doctor if:

• You have a fever and chills.
• You have nausea or are vomiting.
• You feel burning when you urinate.
• You have pain in your abdomen or lower back.
• You have bladder spasms.
• You are urinating less than usual for you.
• You have questions or concerns about your condition or care.

Treatment for neurogenic bladder

depends on your symptoms and underlying condition. You may need any of the following:

• Medicines can help control your bladder. You may also be given antibiotics to prevent or treat a bacterial infection.
• Surgery may be needed if other treatments do not work.

Manage your symptoms:

• Train your bladder. Go to the bathroom at set times, such as every 2 hours, even if you do not feel the urge to go. You can also try to hold your urine when you feel the urge to go. For example, hold your urine for 5 minutes when you feel the urge to go. As that becomes easier, hold your urine for 10 minutes.
• Empty your bladder with a catheter. Healthcare providers will teach you how to safely use a catheter at home.
• Keep a urinary incontinence (UI) record. Write down how often you leak urine and how much you leak. Make a note of what you were doing when you leaked urine. Bring the record to your follow-up appointments.
• Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you. Limit caffeine. Caffeine may irritate your bladder.

Follow up with your doctor as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

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