Neurogenic bladder treatment methods include drug treatment, surgical treatment and voiding training.
1. Drug treatment: anticholinergic drugs and adrenergic receptor blockers can be used as prescribed by the doctor.
(1) Anticholinergic drugs: such as atropine, tolterodine and other drugs, used to reduce the activity of the bladder and relieve the symptoms of frequent urination.
(2) Adrenergic blockers: such as terazosin and other drugs, can be used to reduce the resistance of the bladder outlet, to reduce the patient’s symptoms of urinary difficulties.
2. Voiding training treatment: Self-behavioral training and health education, pelvic floor muscle exercise and intermittent catheterization.
(1) Self-behavioral training and health education: the purpose is to exercise the patient’s ability to control urination.
(2) Pelvic floor muscle exercise: it can enhance the function of the pelvic floor muscles and inhibit the over-activity of the urethral muscles as well as the state of urinary incontinence.
(3) Intermittent catheterization: allows the bladder to fill and empty intermittently, helping the bladder reflex to recover.
3. Surgery: Surgery can usually be considered after the above treatments have failed. These include: male sphincterotomy to turn the bladder into an open urinary tube; sacral rhizotomy to convert a spastic bladder into an incompetent bladder; and urinary diversion including ileal cystectomy or ureterostomy.
If the diagnosis of neurogenic bladder is confirmed, it is recommended to consult a doctor in time, and the primary disease should be actively treated under the guidance of the doctor to avoid further aggravation of the disease.