Show Summary Details
Page of

Neurogenic Bladder and Sexual Dysfunction 

Neurogenic Bladder and Sexual Dysfunction
Neurogenic Bladder and Sexual Dysfunction

Eduardo E. Benarroch

and Michelle L. Mauermann

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 02 July 2022

Neurogenic bladder, frequently in combination with neurogenic sexual dysfunction, is a prominent manifestation of many neurologic disorders, including midline frontal lesions, Parkinson disease (PD), multiple system atrophy (MSA), spinal cord injury (SCI), multiple sclerosis (MS), and peripheral autonomic neuropathies and ganglionopathies.. Lesions of the frontal lobes or basal ganglia circuits, such as PD, are associated with an uninhibited bladder characterized by detrusor overactivity. Spinal cord lesions above T10, such as in traumatic SCI or MS, produce spastic bladder characterized by detrusor overactivity and detrusor sphincter dyssynergia. Disorders affecting the pontine micturition center or the sacral preganglionic or somatic motoneurons, such as MSA, conus medullaris, or cauda equina produce a hypotonic bladder with urinary retention and overflow incontinence. The treatment of detrusor overactivity is anticholinergic drugs; the treatment of micturition disorders is clean, intermittent self-catheterization. Sexual dysfunction commonly coexists with bladder dysfunction in neurological disorders; endocrine, vascular, and psychological factors may have an important contributory effect.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.