Neurogenic Bladder Dysfunction (NBD)

Abstract

Neurogenic bladder dysfunction is a general term for any type of bladder dysfunction due to a defined neurological disorder. It comprises all facets of neurogenic dysfunction of the urinary bladder – the sensitivity, the storage function, and the voiding function. The term is not a diagnosis by exclusion. The location and the extent of the nerve cell injury determine the kind and the degree of the bladder dysfunction (see Table 54.1). Different types of neurogenic bladder dysfunction are understandable in the model of lower and upper motor neuron injury in patients after spinal cord injury (SCI). Neurogenic overactivity after upper motor neuron lesion usually causes a detrusor-sphincter dyssynergia.