Journal Article

Neurological disorders of micturition and their treatment

Clare J. Fowler

in Brain

Published on behalf of The Guarantors of Brain

Volume 122, issue 7, pages 1213-1231
Published in print July 1999 | ISSN: 0006-8950
Published online July 1999 | e-ISSN: 1460-2156 | DOI: https://dx.doi.org/10.1093/brain/122.7.1213

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An overview of the current concepts of the neurological control of the bladder is given, based on laboratory experiments and PET scanning studies in human subjects. This is followed by a description of the various causes of the neurogenic bladder, discussed in a hierarchical order starting with cortical lesions and descending through the basal ganglia and brainstem, spinal cord, conus and cauda equina to disorders of peripheral innervation. Then follows a description of the condition of isolated urinary retention in young women. The article concludes with a review of the methods available for treating neurogenic bladder disorders. These are largely medical but brief mention of appropriate surgical procedures is made.

Keywords: neurogenic bladder; detrusor hyperreflexia; incontinence; urinary retention; CRD = complex repetitive discharge; CVA = cerebrovascular accident; DDVAP = desmopressin; MSA = multiple system atrophy; SPECT = single photon emission computed tomography

Journal Article.  15291 words.  Illustrated.

Subjects: Neurology ; Neuroscience