A neurogenic bladder is a condition where the bladder loses normal control due to nerve damage, often seen in patients with neurological disorders such as spinal cord injury, Parkinson’s disease, multiple sclerosis, stroke, or diabetes. This leads to problems with bladder storage, emptying, or both — significantly affecting a person’s comfort, confidence, and quality of life.
At Rahee Health Care, Bibwewadi, Pune, Dr. Veena Chaudhari, Consultant Senior Urogynecologist, and Dr. Rajeev Chaudhari, Consultant Urosurgeon & Andrologist, provide comprehensive evaluation and treatment for patients with neurogenic bladder. One of the most important tools in their diagnostic approach is urodynamic testing, which accurately assesses bladder function to guide personalized, effective treatment plans.
The bladder is controlled by a complex network of nerves that coordinate the filling and emptying process. When these nerves are damaged due to neurological diseases or injuries, the communication between the brain and the bladder is disrupted, resulting in a neurogenic bladder.
Common Causes Include:
Spinal cord injuries or tumors
Multiple sclerosis (MS)
Parkinson’s disease
Stroke
Diabetes-related nerve damage
Congenital conditions such as spina bifida
Symptoms of Neurogenic Bladder:
Difficulty starting urination
Weak urine stream or incomplete emptying
Frequent urination or urgency
Urinary leakage (incontinence)
Recurrent urinary tract infections (UTIs)
Early diagnosis and proper management are crucial to prevent complications such as kidney damage, urinary infections, and bladder dysfunction.
Urodynamic testing is a specialized diagnostic procedure used to measure how well the bladder, sphincters, and urethra are storing and releasing urine. It provides precise data about bladder pressure, urine flow, and coordination of bladder muscles — essential for patients with neurological conditions affecting urinary function.
At Rahee Health Care, Bibwewadi, Pune, urodynamic studies are performed by experienced specialists using advanced, computer-assisted equipment that ensures accuracy, safety, and comfort.
During a urodynamic test, thin catheters are inserted into the bladder and rectum to measure pressure and flow during bladder filling and emptying. The test typically includes:
Cystometry: Measures bladder pressure during filling to assess capacity and sensitivity.
Pressure-Flow Study: Evaluates how bladder pressure relates to urine flow during voiding.
Urethral Pressure Profilometry: Checks the strength of urethral closure.
Electromyography (EMG): Monitors muscle and nerve activity during urination.
The results provide valuable insights into whether the bladder is overactive, underactive, or not coordinating properly — helping determine the most suitable treatment.
Urodynamics plays a critical role in differentiating between types of bladder dysfunction and guiding treatment.
Key Benefits Include:
Accurate assessment of bladder capacity and compliance
Identification of unsafe bladder pressures that may harm the kidneys
Detection of detrusor overactivity or underactivity
Evaluation of sphincter function and outlet obstruction
Objective monitoring of treatment response over time
In neurogenic bladder cases, urodynamic testing allows specialists like Dr. Veena and Dr. Rajeev Chaudhari to tailor management strategies—ranging from behavioral therapy to surgical intervention—based on each patient’s unique physiology.
Once urodynamic testing is complete, the findings help design a customized treatment plan that may include:
Helps improve bladder control and reduce urgency or leakage.
Anticholinergic drugs or beta-3 agonists are prescribed to manage overactive bladder symptoms.
For patients unable to empty the bladder completely, CIC allows regular and safe drainage.
Used to relax overactive bladder muscles, improving capacity and reducing incontinence.
Electrical stimulation techniques can restore nerve communication between the brain and bladder.
In severe cases, procedures like bladder augmentation, urinary diversion, or sphincter reconstruction may be required.
At Rahee Health Care, these treatment decisions are made collaboratively by Dr. Veena and Dr. Rajeev Chaudhari, ensuring a holistic, multidisciplinary approach.
Patients in Bibwewadi, Pune, and surrounding areas trust Rahee Health Care for its advanced infrastructure, expert team, and compassionate care.
Why patients choose us:
Experienced specialists in urogynecology, urology, and andrology
State-of-the-art urodynamic laboratory
Evidence-based, personalized treatment protocols
Focus on long-term urinary health and comfort
Comprehensive care for both men and women with neurogenic bladder
With Dr. Veena Chaudhari’s expertise in female pelvic health and Dr. Rajeev Chaudhari’s specialization in neuro-urology and male urinary function, patients receive complete, integrated care for all bladder-related disorders.
You should seek evaluation if you experience:
Frequent urinary tract infections
Difficulty in urination or incomplete emptying
Leakage or loss of bladder control
Burning sensation or discomfort during urination
A history of neurological conditions affecting bladder control
Early consultation can prevent kidney complications and improve bladder function significantly.
If you or a loved one is experiencing urinary issues related to a neurogenic bladder, timely diagnosis through urodynamic testing is essential.
Book an appointment with Dr. Veena Chaudhari and Dr. Rajeev Chaudhari at Rahee Health Care, Bibwewadi, Pune, for expert evaluation and advanced treatment. With precision diagnostics and personalized care, they help restore control, comfort, and confidence in daily life.
Read More:
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