Atonic neurogenic bladder refers to a medical condition characterized by the inability of the bladder muscles to contract and effectively expel urine. This condition is caused by damage or dysfunction of the nerves that control bladder function, specifically the nerves responsible for stimulating the contraction of the bladder muscles and relaxing the bladder outlet.
The term "atonic" refers to a lack of muscle tone or weakness. In the case of the neurogenic bladder, this weakness affects the detrusor muscles, which are responsible for contracting the bladder and facilitating the release of urine.
The underlying cause of atonic neurogenic bladder is typically damage to the nerves that serve the bladder, often resulting from chronic conditions such as diabetes mellitus, multiple sclerosis, or spinal cord injuries. These conditions disrupt the normal signaling between the brain, spinal cord, and bladder, leading to improper bladder function.
Symptoms of atonic neurogenic bladder can include urinary retention (the inability to completely empty the bladder), frequent urinary tract infections, urinary incontinence, and a weak urine stream. Left untreated, this condition can lead to complications such as kidney damage and urinary tract infections.
Management of atonic neurogenic bladder may involve various techniques and interventions aimed at restoring or maintaining bladder function. This can include lifestyle modifications, medication to manage bladder muscle function, intermittent catheterization (emptying the bladder using a tube), or surgical procedures to help improve bladder emptying. Treatment is typically tailored to the individual's specific needs and overall health.
