Neurogenic bladder
Neurogenic detrusor overactivity (NDO) is the term used to describe a functional disorder of the bladder muscle (the detrusor).
Neurogenic detrusor overactivity
The muscle contracts involuntarily and uncontrollably due to damage to the nervous system. This occurs when control centers in the spinal cord and brain are damaged – for example due to trauma, congenital spina bifida (“open spine”) or other underlying diseases such as stroke, multiple sclerosis, Parkinson’s disease or diabetes mellitus..
With NDO, there is a loss of control of the regulated and planned emptying of the bladder. This often leads to involuntary leakage of urine (incontinence), in which either no urge to urinate or a sudden urge to urinate is felt. This is also referred to as reflex incontinence, as the bladder is emptied reflexively.
Involuntary contractions (spasms) and/or overfilling of the bladder can cause urine to be pushed back into the kidneys. This can damage them.
Damage to the nervous system means that the interaction between the organs and nerves involved in urine storage and emptying (such as the spinal cord, bladder and sphincter) no longer functions properly. As a result, the storage and voiding of urine can no longer be consciously controlled.
The aim of treating neurogenic detrusor overactivity (NDO) is to prevent involuntary bladder contractions and thus promote continence. Another important aim of the therapy is to reduce bladder pressure in order to prevent damage to the upper urinary tract and protect the kidneys in the long term.
Further information
If you have any further questions, please contact your doctor.
Find out more about NDO, treatment options and read personal testimonials at www.leben-mit-ndo.de. Be inspired by others affected by NDO and find support to help you cope better with everyday life with NDO. Please note that the information contained here is for guidance only and cannot replace a consultation with a doctor. If you need medical help, please contact your doctor promptly.