The effect of neuropathy on the bladder consist of a triad of changes. First of all a reduction of sensitivity in the bladder. This basically means that you will not sense bladder filling in the same way, resulting in infrequent visits to the toilet with the aim to void.
Secondly, as a consequence to this, bladder volumes will increase – since you will not sense/notice that you need to void. Perhaps you will just go to the toilet once or twice per day?
Thirdly you will have an impaired bladder contractility – making it impossible to empty your bladder completely. This results in retention, urinary tract infections, incontinence (sometimes signs of overactivity) and in the long run, an increased risk of kidney failure.
So these changes leads to a magnified, a-contractile, hypotonic bladder that initially does not need to give so many symptoms. But when the sphincter also becomes affected, it can lead to urinary retention, incontinence and repeated urinary tract infections. Some people also have bladder pareses with painful chronic urinary retention.
You can also find additional information in our enCATHopedia Leaflet.
Since the symptoms may be insidious you may not notice much at all. A quick self-check may offer some clues:
If yes, to any of these questions – a check up may be of value. The same goes if you have other bothersome symptoms from your urinary tract.
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