Urology treats urinary tract diseases in all genders and male reproductive issues, covering the kidneys, bladder, prostate, urethra, from infections to complex cancers.
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The treatment of Neurogenic Bladder at Liv Hospital follows a strict hierarchy of clinical goals. We do not just treat symptoms; we treat risks.
Conservative and Behavioral Management
Clean Intermittent Catheterization (CIC). This is the Gold Standard for bladder emptying in a neurogenic bladder. It revolutionized the care of SCI patients in the 1970s (Lapides technique).
Crede and Valsalva Maneuvers
Side Effects: Dry mouth, constipation (which must be managed aggressively in neurogenic patients to prevent bowel impaction), and potential cognitive effects in the elderly.
Beta-3 Agonists
Alpha-Blockers
Minimally Invasive Interventions
Surgical Management (Reconstructive Urology)
Surgery is reserved for patients whose bladders become “hostile” (high pressure, low compliance) despite maximal medical therapy, threatening the kidneys.
Augmentation Cystoplasty (“Clam” Cystoplasty)
Urinary Diversion. For patients who cannot perform CIC (e.g., quadriplegia with poor hand function) or have severe complications.
Sphincterotomy
Interstim: A pacemaker for the bladder. Useful in incomplete injuries or urinary retention to restore function.
Liv Hospital monitors the forefront of urological science. Research into “Tissue Engineered Bladders”—using a patient’s own cells grown on a scaffold to augment the bladder without using intestine—is promising. This avoids the complications of metabolic acidosis and mucus production associated with bowel segments. While still largely experimental, this represents the future of neurogenic bladder reconstruction.
Send us all your questions or requests, and our expert team will assist you.
Initially, it may feel strange or slightly uncomfortable, but it should not be painful. Modern catheters are “hydrophilic” (coated with slippery lubricant activated by water) and very smooth. Most patients report that the relief of emptying the bladder far outweighs the minor inconvenience. It becomes a routine part of the day, like brushing teeth.
Indwelling catheters (Foley catheters) are convenient but dangerous in the long term. They act as a highway for bacteria (chronic UTIs), cause bladder stones, erode the urethra (hypospadias), and significantly increase the risk of Bladder Cancer (Squamous Cell) after 10+ years of use due to chronic irritation. CIC is much safer for long-term health.
Yes, that is actually the goal for many neurogenic patients. We want to paralyze the spasms to lower the dangerous pressures. This means the bladder won’t squeeze on its own. You will likely need to use a catheter (CIC) to empty it, but you will be dry (continent), and your kidneys will be safe. It converts a “dangerous, leaking” bladder into a “safe, storage” bladder.
It is a surgery that creates a catheterizable channel using your appendix. One end connects to the bladder, the other to your belly button (umbilicus). A valve mechanism prevents leaking. You insert a catheter through your belly button to empty the bladder. It is fantastic for wheelchair users who find it hard to undress or reach their urethra (e.g., women in wheelchairs).
Yes. Sexual function is a key part of quality of life. Bladder management should be planned around intimacy (e.g., catheterizing beforehand to prevent leakage). For men with erectile dysfunction due to nerve damage, treatments like PDE5 inhibitors (Viagra), injections, or penile implants are available. For women, lubrication and positioning are key. Liv Hospital offers sexual rehabilitation counseling.
Many people struggle with using catheters. Finding other ways to empty the bladder is key. This is true for those with medical conditions that make
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