|Ers dermatologic disorders ear, nose, and throat disorders endocrine and metabolic disorders eye disorders gastrointestinal disorders genitourinary disorders geriatrics gynecology and obstetrics hematology and oncology hepatic and biliary disorders immunology; allergic disorders infectious diseases injuries; poisoning musculoskeletal and connective tissue disorders neurologic disorders nutritional disorders pediatrics psychiatric disorders pulmonary disorders special subjects chapters in genitourinary disorders approach to the genitourinary patient symptoms of genitourinary disorders genitourinary tests and procedures male reproductive endocrinology and related disorders male sexual dysfunction voiding disorders obstructive uropathy urinary calculi urinary tract infections (uti) cystic kidney disease renal failure renal replacement therapy glomerular disorders tubulointerstitial diseases renal transport abnormalities renovascular disorders penile and scrotal disorders benign prostate disease genitourinary cancer topics in voiding disorders overview of voiding urinary incontinence urinary retention neurogenic bladder interstitial cystitis merck manual > health care professionals > genitourinary disorders > voiding disorders 4 neurogenic bladder share this neurogenic bladder is bladder dysfunction (flaccid or spastic) caused by neurologic damage. viagra no prescription fastest shipping us The primary symptom is overflow incontinence. free viagra samples pfizer Risk of serious complications (eg, recurrent infection, vesicoureteral reflux, autonomic dysreflexia) is high. Diagnosis involves imaging and cystoscopy or urodynamic testing. viagra for sale Treatment involves catheterization or measures to trigger urination. Any condition that impairs bladder and bladder outlet afferent and efferent signaling can cause neurogenic bladder. viagra lasts longer than viagra Causes may involve the cns (eg, stroke, spinal injury, meningomyelocele, amyotrophic lateral sclerosis), peripheral nerves (eg, diabetic, alcoholic, or vitamin b12 deficiency neuropathies; herniated disks; damage due to pelvic surgery), or both (eg, parkinson's disease, multiple sclerosis, syphilis). viagra canada Bladder outlet obstruction often coexists and may exacerbate symptoms. In flaccid (hypotonic) neurogenic bladder, volume is large, pressure is low, and contractions are absent. viagra use women It may result from peripheral nerve damage or spinal cord damage at the s2 to s4 level. After acute cord damage, initial flaccidity may be followed by long-term flaccidity or spasticity, or bladder function may improve after days, weeks, or months. buy viagra without prescription In spastic bladder, volume is normal or small, and involuntary contractions occur. It usually results from brain damage or spinal cord damage above t12. buy viagra Precise symptoms vary by site and severity of the lesion. cheap viagra generic Bladder contraction and external urinary sphincter relaxation are typically uncoordinated (detrusor-sphinct. natural products that work like viagra long do side effects viagra last|
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