Skip to main content

The Neurogenic Bladder and Hypertonic Pelvic Floor Muscle Dysfunction

  • Chapter
  • First Online:
Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly

Abstract

This chapter will discuss the anatomy and physiology of the bladder treatments for the neurogenic bladder and hypertonic pelvic floor, site specific neurogenicity and treatment of the neurogenic bladder and hypertonic pelvic floor dysfunction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. Adamson AS, Gelister J, Hayward R, Snell ME. Tethered cord syndrome: an unusual cause of adult bladder dysfunction. Br J Urol. 1993;71:417–21.

    Article  CAS  PubMed  Google Scholar 

  2. Ahlberg J, Norlen L, Blomstrand C, Wikkelso C. Outcome of shunt operation on urinary incontinence in normal pressure hydrocephalus predicted by lumbar puncture. J Neurol Neurosurg Psychiatry. 1988;51:105–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Allen TD. Psychogenic urinary retention. South Med J. 1972;65:302–4.

    Article  CAS  PubMed  Google Scholar 

  4. Andrew J, Nathan PW. Lesions of the anterior frontal lobes and disturbances of micturition and defaecation. Brain. 1964;87:233–62.

    Article  CAS  PubMed  Google Scholar 

  5. Betts CD, D’Mellow MT, Fowler CJ. Urinary symptoms and the neurological features of bladder dysfunction in multiple sclerosis. J Neurol Neurosurg Psychiatry. 1993;56:245–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Brindley GS. The first 500 patients with sacral anterior root stimulator implants: general description. Paraplegia. 1994;32:795–805.

    Article  CAS  PubMed  Google Scholar 

  7. Chancellor MB, Blaivas JG. Multiple sclerosis. In: Chancellor MB, Blaivas JG, editors. Practical neuro-urology. Boston: Butterworth-Heinemann; 1995. p. 119–37.

    Google Scholar 

  8. de Groat WC. Nervous control of the urinary bladder of the cat. Brain Res. 1975;87:201–11.

    Article  PubMed  Google Scholar 

  9. de Groat WC. Central neural control of the lower urinary tract. In: Bock G, Whelan J, editors. Neurobiology of incontinence. Chichester: Wiley; 1990. p. 27–56.

    Google Scholar 

  10. Escaf S, Cavallotti C, Ricci A, Vega JA, Amenta F. Dopamine D1 and D2 receptors in the human ureter and urinary bladder: a radioligand binding and autoradiographic study. Br J Urol. 1994;73:473–9.

    Article  CAS  PubMed  Google Scholar 

  11. Fowler CJ, Christmas TJ, Chapple CR, Parkhouse HF, Kirby RS, Jacobs HS. Abnormal electromyographic activity of the urethral sphincter, voiding dysfunction, and polycystic ovaries: a new syndrome? Br Med J. 1988;297:1436–8.

    Article  CAS  Google Scholar 

  12. Greenstein A, Matzkin H, Kaver I, Braf Z. Acute urinary retention in herpes genitalis infection: urodynamic evaluation. Urology. 1988;31:453–6.

    Article  CAS  PubMed  Google Scholar 

  13. Griffiths DJ, McCracken PN, Harrison GM, Gormley EA, Moore K, Hooper R, et al. Cerebral aetiology of urinary urge incontinence in elderly people. Age Ageing. 1994;23:246–50.

    Article  CAS  PubMed  Google Scholar 

  14. Hassouna MM, Elhilali MM. Role of the sacral root stimulator in voiding dysfunction. World J Urol. 1991;9:145–8.

    Article  Google Scholar 

  15. Hattori T, Sakakibara R, Yasuda K, Murayama N, Hirayama K. Micturitional disturbance in cervical spondylotic myelopathy. J Spinal Disord. 1990;3:16–8.

    CAS  PubMed  Google Scholar 

  16. Holstege G, Griffiths D, de Wall H, Dalm E. Anatomical and physiological observations on supraspinal control of bladder and urethral sphincter muscles in the cat. J Comp Neurol. 1986;250:449–61.

    Article  CAS  PubMed  Google Scholar 

  17. Khan Z, Hertanu J, Yang WC, Melman A, Leiter E. Predictive correlation of urodynamic dysfunction and brain injury after cerebrovascular accident. J Urol. 1981;126:86–8.

    CAS  PubMed  Google Scholar 

  18. Lapides J, Diokno AC, Gould FR, Lowe BS. Further observations on self-catheterization. J Urol. 1976;116:169–71.

    CAS  PubMed  Google Scholar 

  19. Margolis G. A review of literature on psychogenic urinary retention. [Review]. J Urol. 1965;94:257–8.

    CAS  PubMed  Google Scholar 

  20. Mochizuki H, Saito H. Mesial frontal lobe syndromes: correlations between neurological deficits and radiological localizations. [Review]. Tohoku J Exp Med. 1990;161 Suppl: 231–9.

    Google Scholar 

  21. Neurogenic bladder dysfunction in lumbar intervertebral disc prolapse. Br J Urol. 1992;69:38–40.

    Google Scholar 

  22. Resnick NM, Yalla SV. Detrusor hyperactivity with impaired contractile function: an unrecognized but common cause of incontinence in elderly patients. JAMA. 1987;257:3076–81.

    Article  CAS  PubMed  Google Scholar 

  23. Sakakibara R, Hattori T, Yasuda K, Yamanishi T. Micturitional disturbance after acute hemispheric stroke: analysis of the lesion site by CT and MRI. J Neurol Sci. 1996;137:47–56.

    Article  CAS  PubMed  Google Scholar 

  24. Sirls LT, Zimmern PE, Leach GE. Role of limited evaluation and aggressive medical management in multiple sclerosis: a review of 113 patients. J Urol. 1994;151:946–50.

    CAS  PubMed  Google Scholar 

  25. Staskin DS, Vardi Y, Siroky MB. Post-prostatectomy continence in the parkinsonian patient: the significance of poor voluntary sphincter control. J Urol. 1988;140:117–8.

    CAS  PubMed  Google Scholar 

  26. Thor K, Kawatani M, de Groat WC. Plasticity in the reflex pathways to the lower urinary tract of the cat during postnatal development and following spinal cord injury. In: Goldberger ME, Gorio A, Murray M, editors. Development and plasticity of the mammalian spinal cord. Padova: Liviana Press; 1986. p. 65–110.

    Google Scholar 

  27. van Kerrebroeck PE, Koldewijn EL, Debruyne FM. Worldwide experience with the Finetech-Brindley sacral anterior root stimulator. Neurourol Urodyn. 1993;12:497–503.

    Article  PubMed  Google Scholar 

  28. Ventimiglia B, Patti F, Reggio E, Failla G, Morana C, Lopes M, et al. Disorders of micturition in neurological patients. J Neurol. 1998;245:173–7.

    Article  CAS  PubMed  Google Scholar 

  29. Schurch B, Tawadros C, Carda S. Dysfunction of lower urinary tract in patients with spinal cord injury. Handb Clin Neurol. 2015;130:247–67.

    Google Scholar 

  30. Bauer SB, Labib KB, Dieppa RA, et al. Urodynamic evaluation of boy with myelodysplasia and incontinence. Urology. 1977;10:354–62.

    Article  CAS  PubMed  Google Scholar 

  31. Weld KJ, Dmochowski RR. Association of level of injury and bladder behavior in patients with post-traumatic spinal cord injury. Urology. 2000;55:490–4.

    Article  CAS  PubMed  Google Scholar 

  32. Burney TL, Senapati M, Desai S, Choudhary ST, Badlani GH. Acute cerebrovascular accident and lower urinary tract dysfunction: a prospective correlation of the site of brain injury with urodynamic findings. J Urol. 1996;156:1748–50.

    Article  CAS  PubMed  Google Scholar 

  33. Hald T, Bradley WE. The nervous control of the urinary bladder. In: The urinary bladder: neurology and urodynamics. Baltimore: Williams & Wilkins; 1982. p. 48–57.

    Google Scholar 

  34. Borrie MJ, Campbell A, Caradoc-Davies TH, Spears GF. Urinary incontinence after stroke:a prospective study. Age Ageing 1986;15:177.

    Google Scholar 

  35. Bradley WE. Innervation of the male urinary bladder. Urol Clin North Am. 1978;5:279.

    CAS  PubMed  Google Scholar 

  36. Barone P, Antonini A, Colosimo C, et al. The PRIAMO study: a multicenter assessment of nonmotor symptoms and their impact on quality of life in Parkinson’s disease. Mov Disord. 2009;24(11):1641–9.

    Article  PubMed  Google Scholar 

  37. de Groat WC, Yoshimura N. Plasticity in reflex pathways to the lower urinary tract following spinal cord injury. Exp Neurol. 2012;235:123–32.

    Article  PubMed  Google Scholar 

  38. Vizzard MA. Neurochemical plasticity and the role of neurotrophic factors in bladder reflex pathways after spinal cord injury. In: Weaver LC, Polosa C, editors. Progress in brain research. vol. 152. Elsevier; 2006. p. 97–115.

    Google Scholar 

  39. de Groat WC, Kawatani M, Hisamitsu T, Cheng CL, Ma CP, Thor K, Steers W, Roppolo JR. Mechanisms underlying the recovery of urinary-bladder function following spinal-cord injury. J. Auton. Nerv. Syst. 1990;30: S71–8.

    Google Scholar 

  40. de Groat WC, Nadelhaft I, Milne RJ, Booth AM, Morgan C, Thor K. Organization of the sacral parasympathetic reflex pathways to the urinary bladder and large intestine. J Auton Nerv Syst. 1981;3(2–4):135–60.

    Article  PubMed  Google Scholar 

  41. Loewy AD, Saper CB, Baker RP. Descending projections from the pontine micturition center. Brain Res. 1979;172:533–8.

    Article  CAS  PubMed  Google Scholar 

  42. Nour S, Svarer C, Kristensen J, Paulson OB, Law I. Cerebral activation during micturition in normal men. Brain. 2000;123:781–9. doi:10.1093/brain/123.4.781.

    Article  PubMed  Google Scholar 

  43. Sakakibara R. Lower urinary tract dysfunction in patients with brain lesions. Handb Clin Neurol. 2015;130:269–87.

    Google Scholar 

  44. Yum KS, Na SJ, Lee KY, Kim J, Oh SH, Kim YD, Yoon B, Heo JH, Lee KO. Pattern of voiding dysfunction after acute brainstem infarction. Eur Neurol. 2013;70(5–6):291–6.

    Article  PubMed  Google Scholar 

  45. Betts C. Bladder and sexual dysfunction in multiple sclerosis. In: Fowler CJ, editor. Neurology of bladder, bowel and sexual dysfunction. Boston: Butterwoth Heinemann; 1999. p. 289–308.

    Google Scholar 

  46. de Sèze M, Ruffion A, Denys P, Joseph PA, Perrouin-Verbe B, and the International Francophone Neuro-Urological expert study group (GENULF). The neurogenic bladder in multiple sclerosis: review of the literature and proposal of management guidelines. Mult Scler. 2007;13(7):915–28.

    Google Scholar 

  47. Coon EA, Sletten DM, Saurez MD, Mandrekar JN, Ahlskog JE, Bower JH, Matsumoto JY, Silber MH, Benarroch EE, Fealey RD, Sandroni P, Low PA, Singer W. Clinical features and autonomic testing predict survival in multiple system atrophy. Brain. 2015;138(Pt 12).

    Google Scholar 

  48. Benarroch EE. New findings on the neuropathology of multiple system atrophy. Auton Neurosci. 2002;96(1):59–62.

    Article  CAS  PubMed  Google Scholar 

  49. Panicker JN, Fowler CJ, Kessler TM. Lower urinary tract dysfunction in the neurological patient: clinical assessment and management. Lancet Neurol. 2015;14:720–32.

    Article  PubMed  Google Scholar 

  50. Benarroch EE, Schmeichel AM, Low PA, et al. Involvement of medullary serotonergic groups in multiple system atrophy. Ann Neurol. 2004;55(3):418–22.

    Article  PubMed  Google Scholar 

  51. Ito T, Sakakibara R, Yasuda K, et al. Incomplete emptying and urinary retention in multiple-system atrophy: when does it occur and how do we manage it? Mov Disord. 2006;21(6):816–23.

    Article  PubMed  Google Scholar 

  52. Sakakibara R, Hattori T, Uchiyama T, et al. Videourodynamic and sphincter motor unit potential analyses in Parkinson's disease and multiple system atrophy. J Neurol Neurosurg Psychiatry. 2001;71(5):600–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Burn DJ, Jaros E. Multiple system atrophy: cellular and molecular pathology. Mol Pathol. 2001;54(6):419–26.

    CAS  PubMed  PubMed Central  Google Scholar 

  54. Mukerji G, Waters J, Chessell IP, Bountra C, Agarwal SK, Anand P. Pain during ice water test distinguishes clinical bladder hypersensitivity from overactivity disorders. BMC Urol. 2006;6:31.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Yamaguchi C, Sakakibara R, Uchiyama T, Liu Z, Yamamoto T, Ito T, et al. Bladder sensation in peripheral nerve lesions. Neurourol Urodyn. 2006;25:763–9.

    Article  PubMed  Google Scholar 

  56. Sakakibara R, Uchiyama T, Kuwabara S, Mori M, Ito T, Yamamoto T, et al. Prevalence and mechanism of bladder dysfunction in Guillain–Barre’ syndrome. Neurourol Urodyn. 2009;28:432–7.

    Article  PubMed  Google Scholar 

  57. Sasaki K, Yoshimura N, Chancellor MB. Implications of diabetes mellitus in urology. Urol Clin North Am. 2003;30:1–12.

    Article  PubMed  Google Scholar 

  58. Niakan E, Harati Y, Comstock JP. Diabetic autonomic neuropathy. Metabolism. 1986;35:224–34.

    Article  CAS  PubMed  Google Scholar 

  59. Lloyd JC, Wiener JS, Gargollo PC, et al. Contemporary epidemiological trends in complex congenital genitourinary anomalies. J Urol. 2013;190:1590.

    Article  PubMed  Google Scholar 

  60. Bauer SB, Hallett M, Khoshbin S, et al. Predictive value of urodynamic evaluation in newborns with myelodysplasia. JAMA. 1984;252:650.

    Article  CAS  PubMed  Google Scholar 

  61. Carr MC. Neuropathic bladder in the neonate. Clin Perinatol. 2014;41(3):725–33. doi:10.1016/j.clp.2014.05.017. Epub 2014 Jul 18. Review.

    Article  PubMed  Google Scholar 

  62. OxfordJournals.org, July 1933.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David A. Gordon .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media New York

About this chapter

Cite this chapter

Gordon, D.A., Gossein, R., Rana, N. (2017). The Neurogenic Bladder and Hypertonic Pelvic Floor Muscle Dysfunction. In: Gordon, D., Katlic, M. (eds) Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-6554-0_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-6554-0_17

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-6552-6

  • Online ISBN: 978-1-4939-6554-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics