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Review Papers | Medical Surgical | Albania | Volume 11 Issue 10, October 2022
Morphofunctional Alterations of the Bladder Secondary to Central or Peripheral Neurological Lesions
Abstract: Neurogenic bladder' refers to any morphofunctional alterations of the bladder? sphincter complex secondary to central or peripheral neurological lesions. The control of micturition can be impaired by lumbar disc disease: the most frequently involved discs are in fact L4/L5 and L5/S1 and protrusions or herniations at these levels can compromise bladder innervation The term 'disc disease' includes different intervertebral disc structural modifications such as degeneration, protrusion and herniation. Discal degeneration is characterized by dehydration and shortening of the intervertebral disc. Discal protrusion is the distension of the disc beyond the vertebral body edge. It can be uniform and symmetrical or focal and asymmetrical, generally median or monolateral. The nucleus escape, usually asymmetrical, median or monolateral, is called herniation and it can be contained (by the posterior longitudinal ligament) or expelled. The discal damage causes several functional bladder alterations and urinary symptoms that include neurogenic overactivity the in early stage, with progressive underactivity and areflexia in the late stage.
Keywords: neurogenic bladder, neurological lesions, morphofunctional alterations
Edition: Volume 11 Issue 10, October 2022,
Pages: 219 - 222