Patient was educated on neurogenic bladder (overactive bladder) as follows:
- When urine flows from the kidneys into the bladder, detrusor muscle, which is the smooth muscle of the bladder relaxes to accommodate more urine. At the same time, the sphincter muscle at the outlet from the bladder will contract, which prevents urine to flow from the bladder to the urethra.
- During voiding, voluntary contraction of the bladder muscle, helps to empty the bladder. At the same time, the sphincter muscle at the outlet from the bladder will relax, which helps urine to flow from the bladder to the urethra.
- Good nervous control of the bladder muscle and the sphincter muscles is needed to coordinate these functions to prevent incontinence.
- Neurogenic bladder, also called, overactive bladder is a state when individuals present with urge incontinence, secondary to conditions involving nervous system, brain, and spinal cord.
- In these conditions, such as, multiple sclerosis, stroke, poorly managed diabetes with neuropathy, or any physical trauma to the brain and spinal cord, the nervous control of the bladder muscle and sphincter is compromised, resulting in sudden random involuntary contraction of bladder and urge incontinence.
