Neurogenic Bladder

A diagnosis of neurogenic bladder can have a significant impact on your quality of life, and our urologists are ready to develop a treatment plan that is sensitive to your needs and works for your individual lifestyle. Our multidisciplinary team of experts will coordinate with the treatments provided by the rest of your healthcare team, including neurologists, physiatrists, and primary care specialists. 


Innovative Treatments

Our mission is to perform research and discover next generation methods for treatments of conditions like neurogenic bladder. Our physicians lead and participate in cutting-edge clinical trials, and we are continually looking for new ways to adopt innovative treatments from around the world as new advances come to light. We are well equipped to deliver currently available treatment options for neurogenic bladder including sacral neuromodulation, onabotulinumtoxin A bladder injections, and complex bladder reconstructive surgery. 

What is Neurogenic Bladder?

A neurogenic bladder is the condition when the bladder and urethral sphincter muscle (USM) function abnormally due to a nerve or neurologic problem such as spinal cord injury, spina bifida, cauda equina syndrome, multiple sclerosis, stroke, transverse myelitis, brain tumors, cerebral aneurysms,  Parkinson's Disease, Alzheimer's Disease, multiple system atrophy (MSA), and other degenerative nerve disorders.

Because of the neurologic condition where nerves are not communicating properly with the bladder muscle or the USM, this can lead to problems with continence or voiding.  Urine leakage (loss of urine control) is a common issue faced by patients, and often occurs when the bladder muscle does not receive the right message and contracts without the patient’s permission.  Inability of the bladder to completely empty is another common symptom of neurogenic bladder.  Urine retention often happens if the bladder muscles do not receive a signal from the nerve to contract, or if the USM does not receive the signal to relax during voiding.  The ability for the patient to sense bladder fullness or to feel urine flow during voiding varies depending on the type of neurologic condition he/she has.  While counter intuitive, some neurogenic bladder patients have frequent sensations to urinate even with low bladder volumes. The symptoms of neurogenic bladder can resemble other conditions and medical problems, so it is always recommended to consult your physician for a diagnosis.

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People Listing

Angela Arlen, MD

Assistant Professor of Urology

Clinical Interests

Pediatrics; Urology; Urology Department, Hospital

Toby C. Chai, MD

Professor of Urology and of Obstetrics, Gynecology, and Reproductive Sciences

Clinical Interests

Urinary Bladder Diseases; Urinary Bladder Fistula; Urinary Bladder Neoplasms; Urinary Bladder, Neurogenic; Ureteral Obstruction; Urinary Diversion; Urinary Fistula; Urinary Incontinence; Urinary Incontinence, Stress; Urinary Tract Infections; Urodynamics; Urology; Women's Health; Reconstructive Surgical Procedures; Urinary Bladder, Overactive; Lower Urinary Tract Symptoms

Harris E. Foster, Jr, MD

Professor of Urology

Clinical Interests

Hematuria; Urinary Incontinence; Cystitis, Interstitial; Cystocele

Israel Franco, FAAP, FACS, MD

Professor of Clinical Urology

Clinical Interests

Urinary Bladder Diseases; Laparoscopy; Prune Belly Syndrome; Urinary Tract; Urination Disorders

M. Maher, MD

Assistant Professor of Clinical Urology

Robert M. Weiss, MD, FACS, FAAP

Donald Guthrie Professor of Urology

Clinical Interests

Cryptorchidism; Hypospadias; Medical Oncology; Urinary Incontinence; Vesico-Ureteral Reflux