Neurogenic bladder dysfunction occurs due to spinal cord lesions and it poses a significant threat to the well-being of patients and quality of life.
Spinal cord injuries cause physical trauma, tumors, multiple sclerosis (MS), and other neurodegenerative conditions. It poses a serious threat to urinary incontinence, renal impairment, bladder or renal stones, urinary tract infection, and stone formation. Diseases or lesions of the spinal cord result in an overactive bladder and a frequent urge to urinate. Children born with myelomeningocele may have neurogenic bladder dysfunction from birth. They require efficient bladder management to ensure reservoir function of the bladder emptying, and dryness. The spinal anomalies are associated with lesions of the spinal cord or the spinal nerve roots. The majority of children born with Spina Bifida/spinal cord lesions are at risk of constipation and need a laxative to keep stooling regularly.
Spinal nerves that control the bladder did not function properly and cause neurological abnormalities. The bladder will have trouble storing urine in the bladder. Myelomeningocele is the most severe form of spinal cord lesions.
Spina bifida occulta causes a small separation or space in one or more of the bones of the spinal cord.
A myelomeningocele is a severe form of spina bifida or spinal nerve lesions in which spinal cord nerves develop outside of the body and that particular area loses all sensation. This creates muscle weakness, paralysis, urinary tract dysfunction, bladder, and bowel dysfunction.
Early management is focused on the optimization of bladder function and preventing injury to the upper urinary tract.
Meningomyelocele is a type of spinal cord lesion or Spina bifida. It's a birth defect that causes a portion of the spinal cord and adjacent tissues to protrude through the child's back. The spinal cord is not developed properly and the child might lose complete control of the bladder or bowel. some possible symptoms included:
When spinal cord nerves are injured by illness or lesions, the muscles and nerves become unable to tighten and relax bladder muscles. Other possible causes may include:
Prenatal ultrasound diagnoses the myelomeningocele or spinal cord lesions in a baby.
This condition is generally diagnosed during early pregnancy so termination of pregnancy is also an option. If this is not the case, the baby needs surgery after birth.
Children with myelomeningocele often require multiple cares of neurology, physical therapy, orthopedics, etc.
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