NEUROGENIG BLADDER 
DEFINITION
CAUSES
CLINICAL MANIFESTATIONS
NURSING MANAGEMENT
PATHOPHYSIOLOGY
Disruption of the nerve impulse transmission from the bladder to the brain
Diseases such as multiple sclerosis
Cerebrovascular accident
Tumours
Spinal lesions leading to uninhibited bladders control
Injuries
There may be also paralysis of lower limbs
This will result to bladder incontinence or retention.
This leads to interruption of nerve supply to the bladder
Spinal bifida, brain damage or diseases such as multiple sclerosis may occur
Overflow incontinence because of lack of nerve impulse transmission
Filling and emptying of the bladder with no control
Irregular voiding and dribbling of urine
Distending bladder with no urge to void
Loss of sensation of the need to void
Urinary retention
History of spinal trauma
Frequent changing of the patient's diaper
Monitor fluid intake and output
Providing bed pan to patient when they void
Urinalysis to provide baseline data from which condition of the patient will be monitered
Catheterization
DIAGNOSTIC TEST
Blood urea nitrogen level to assess renal function
Cystoscopy to determine loss of elastic tissue and muscle fibre
Urodynamic studies to give information on the strength of the bladder
Urinalysis to detect presence of UTI