{"id":4354,"date":"2025-01-31T19:20:06","date_gmt":"2025-01-31T18:20:06","guid":{"rendered":"https:\/\/www.peyrat-urologie.fr\/neurological-bladder\/"},"modified":"2026-02-10T10:30:52","modified_gmt":"2026-02-10T09:30:52","slug":"neurological-bladder","status":"publish","type":"page","link":"https:\/\/www.peyrat-urologie.fr\/en\/expertise\/neurological-bladder\/","title":{"rendered":"Neurological bladder"},"content":{"rendered":"\t\t
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Neurological bladder<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tHome \/ <\/a>Neurological bladder\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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When should you consider specialist care? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Neurological bladder<\/strong> is a pathology linked to dysfunction of the nervous control of the bladder, secondary to damage to the central or peripheral nervous system. It can lead to problems with urinary emptying, leakage or recurrent infections, which can sometimes be serious. <\/p>

A specialized urological consultation is indicated when the neurological pathology causes :<\/p>

\u2714 urinary retention<\/strong> (difficulty or inability to urinate),<\/p>

\u2714 uncontrolled urinary incontinence<\/strong> ,<\/p>

\u2714 pollakiuria<\/strong> (frequent need to urinate),<\/p>

\u2714 recurrent urinary tract infections<\/strong> ,<\/p>

\u2714 bladder pain<\/strong> or chronic discomfort<\/strong> .<\/p>

Appropriate management can preserve renal function<\/strong>, improve quality of life<\/strong> and prevent long-term complications<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Neurological bladder<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Neurological bladder origin<\/strong><\/p>

\u2714 Multiple sclerosis (MS)
\u2714 Parkinson’s Disease
\u2714 Spinal cord injuries (accident, myelopathy)
\u2714 Spina bifida (in adults or children)
\u2714 Diabetes with peripheral neuropathy
\u2714 Sequelae of a stroke (CVA)
\u2714 Pelvic or spinal surgeries<\/p>

Each case has its own specific clinical picture, hence the importance of apersonalized<\/strong>
assessment<\/strong>.<\/p>


Possible symptoms<\/strong><\/p>

\u2714 Involuntary urinary leakage (incontinence)
\u2714 Sensation of incomplete drainage
\u2714 Urgent need to urinate, sometimes uncontrollable
\u2714 Difficulty urinating or need to strain
\u2714 Frequent urination, day and night
\u2714 Recurrent urinary tract infections
\u2714 Pelvic discomfort, bladder pain or spasms<\/p>


Diagnostic workup<\/strong><\/p>

\u2714 Interview and clinical examination
\u2714 Urine analysis and urine culture (to check for infection)
\u2714 Bladder and kidney ultrasound (post-void residual, renal impact)
\u2714 Urodynamic assessment (evaluation of bladder and sphincter function)
\u2714 Cystoscopy (if necessary, to observe the bladder wall)<\/p>

This assessment enables the neurological bladder to be classified<\/strong> according to the type of dysfunction:
overactive, hypoactive or vesico-sphincter dyssynergia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Treatments proposed by Dr Laurence Peyrat<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The treatment strategy is tailored to each individual case<\/strong>, depending on the type of neurological impairment, the functional impact and the patient’s goals.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Basic measures\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39 Hygienic-dietary rules: adapting water intake, regular urination.
\ud83d\udd39 Regular monitoring of bladder and kidney function\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Drug treatments\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39 Anticholinergics or beta-3 agonists to calm an overactive bladder.
\ud83d\udd39 Alpha-blockers to facilitate bladder emptying.\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Intermittent self-catheterization\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39 In case of chronic retention or incomplete emptying.
\ud83d\udd39 Self-draining technique several times a day, taught according to a personalized protocol.
\ud83d\udd39 Helps prevent infections, pain and bladder dilation.
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Botulinum toxin injections (Botox\u00ae)\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39 Indicated in treatment-resistant neurological overactive bladder.
\ud83d\udd39 Injections into the bladder wall, under local or general anesthesia.
\ud83d\udd39 Temporary effect (6 to 9 months), may be renewed.
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Sacral neuromodulation\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39 Electrical stimulation of the sacral nerve to regulate bladder function.
\ud83d\udd39 Reserved for selected cases, after full assessment.
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Specialty surgeries\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39 Artificial sphincter or urinary prosthesis in certain cases of severe incontinence.
\ud83d\udd39 Enterocystoplasty (bladder augmentation by intestinal grafting) in complex cases.
\ud83d\udd39 Urinary diversion if the bladder is non-functional and threatening to the kidneys.
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Management objectives<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u2714 Improve quality of life<\/strong> (reduced leakage, more comfortable urination),<\/p>

\u2714 Protect the kidneys<\/strong> (prevent reflux, dilation of the urinary tract),<\/p>

\u2714 Prevent chronic urinary tract infections<\/strong> ,<\/p>

\u2714 Maintain or restore urinary autonomy<\/strong> .<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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The expertise of Dr Peyrat Laurence<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Why consult Dr Laurence Peyrat?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Specialist in functional and neurological urology,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Comprehensive, personalized management of urinary disorders of neurological origin,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Collaboration with neurologists, physiotherapists, pain centers\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Rigorous, caring follow-up, with careful attention to each patient's specific needs.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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About us<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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My video review<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Discover the principle of the neurogenic bladder<\/strong> in pictures.
A bladder dysfunction linked to damage to the nervous system. It can lead to leakage, difficulty urinating, or chronic retention. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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A first step towards an effective solution<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Make an appointment today to benefit from attentive listening and support tailored to your situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tConsultation appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTreatment Appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

When should you consider specialist care? Neurological bladder is a pathology linked to dysfunction of the nervous control of the bladder, secondary to damage to the central or peripheral nervous system. It can lead to problems with urinary emptying, leakage or recurrent infections, which can sometimes be serious. A specialized urological consultation is indicated when […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4370,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4354","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=4354"}],"version-history":[{"count":2,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4354\/revisions"}],"predecessor-version":[{"id":5274,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4354\/revisions\/5274"}],"up":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4370"}],"wp:attachment":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}