Final answer:
Management strategies for uninhibited neurogenic bladder include timed voiding, anticholinergic medications, Kegel exercises, and intermittent catheterization. For severe cases, surgery might be necessary to modify bladder function.
Step-by-step explanation:
Strategies for Uninhibited Neurogenic Bladder
Uninhibited neurogenic bladder occurs when there is a disruption in the nerve signals between the bladder and the brain, leading to difficulty in controlling urination.
To manage this condition, several strategies can be deployed:
- Timed voiding or bladder training involves urinating at regular intervals and gradually increasing the time between urination to build control and capacity.
- Use of anticholinergic medications can help relax the detrusor muscle, reducing the urgency and frequency of urination.
- Pelvic floor exercises or Kegel exercises can strengthen the muscles involved in controlling urination, improving both urge and stress urinary incontinence.
- Intermittent catheterization can be used to manually empty the bladder for those who cannot completely void on their own. This helps prevent overfilling and reduces the risk of incontinence.
In more severe cases, surgical interventions may be necessary to increase bladder capacity or improve bladder outlet resistance.