The following symptoms and complaints may indicate neurogenic bladder:
Leading symptoms
- Straining to urinate
- Dysuria (painful urination)
- Pollakisuria (frequent urination)
- Urination disorders
- Urinary incontinence
- Urinary interruptions
- Frequent urination
- Ischuria (urinary retention; inability to urinate despite a full bladder).
- Nocturia (nocturnal urination).
- Very rare urinary bladder emptying with large urine volumes.
- Delayed urination
Detrusor overactivity (engl. detrusor overactivity) (consequence of damage to the nervous system due to diseases, accidents or congenital malformations; consequence of damage to the nervous system due to diseases, accidents or congenital malformations; e.g. due tocentral degenerative diseases such as Parkinson’s disease, multiple sclerosis (MS); demential syndromes).
- Frequent to constant and extremely unpleasant urge to urinate (“urgency”).
- Pollakiuria
- Nocturia
Detrusor-sphincter dyssynergia (DSD; bladder dysfunction characterized by impaired interaction of the anatomical structures involved in bladder emptying; classically due to spinal cord injury or also in patients with multisystem atrophy, multiple sclerosis (MS)).
- Starting difficulties
- Frequently interrupted urine stream
Hypercontractile detrusor (e.g., due to polyneuropathy (20-40%), disc herniation (5-18%), multiple sclerosis (MS; up to 20%); iatrogenic after surgery (especially after hysterectomy/uterus removal and rectum resection/partial removal of the rectum (rectum) leaving the sphincter apparatus in place.
- Weak urinary stream
- Residual urinary sensation
- Recurrent (recurring) urinary tract infections.
Hypocontractile detrusor (e.g., due to peripheral lesions).
- Loss of reflex contraction of the sphincter with an increase in abdominal pressure with loss of urine (e.g., when laughing, sneezing, coughing coughing, carrying heavy loads.
