Common Disorders

Neurogenic Bladder Treatment

Neurogenic bladder involves a loss of bladder function that prevents patients from being able to effectively empty the bladder. Normal bladder function involves a complex communication system between nerves and muscles that work together to tighten or release the bladder muscles and allow urine to be released.

This condition often develops after an accident or trauma to the brain or spinal cord, because of a genetic nerve defect, or tumors in the spinal cord or pelvis. Patients with diabetes are also at a higher risk for developing this condition.

Patients with neurogenic bladder often experience:

  • Urine leakage
  • Urine retention
  • Painful urination
  • Bladder infection
  • Urinary tract infection

Your doctor can diagnose neurogenic bladder by examining both the nervous system and the bladder itself. This examination may include x-rays, an electroencephalogram and a physical examination. A test may also be performed to fill the bladder and see how much it can hold.

Treatment for neurogenic bladder often begins with medication, which can be effective in relieving symptoms of the condition. Antibiotics may be prescribed to treat infections. A catheter may be used to empty the bladder at regular intervals. For more severe cases, a permanent stent or artificial sphincter may be inserted for long-term urinary relief. Effective management of this condition helps reduce a patient's risk of recurrence.

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.

Nocturia Treatment

Nocturia is a urinary condition involving waking during the night because of an urge to urinate, occurring as a result of excess urine production or low bladder capacity. This condition tends to affect older patients and may be due to high fluid intake, diabetes, congestive heart failure or other sleeping disorders.

Patients with nocturia tend to produce excessive amounts of urine each day, which increases even further at night beyond the capacity that the bladder can hold. Nocturia causes patients to wake frequently and may interfere with the ability to get a decent night of sleep. To diagnose nocturia, patients are asked to record the amount of fluid consumed and urine voided throughout a two-day period, which can help the doctor determine the potential cause and recommended treatment.

Treatment for nocturia depends on the cause of the condition, but often includes simple life changes such as restricting fluids in the evening, elevating the legs and taking afternoon naps. Medications may be prescribed to relieve an overactive bladder or decrease urine production. Your doctor will develop a customized treatment plan for your individual condition.

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.

Pyelonephritis (Kidney Infection)

Pyelonephritis is a kidney infection which begins in the urethra or bladder and eventually spreads to the kidneys. Symptoms of a kidney infection typically include fever, blood or pus in the urine, frequent, painful urination, fever, abdominal pain, or groin pain. Contact your doctor immediately if you are experiencing the aforementioned symptoms to receive the treatment you need and prevent life-threatening complications.

To diagnose pyelonephritis, your doctor will perform a full physical examination and review your medical history. In addition, a urine test will be done to detect the presence of blood, bacteria, or pus in your urine.

Treatment for pyelonephritis may vary based on severity. Mild kidney infections can often be treated with antibiotic medications, while hospitalization is necessary for severe kidney infections that remain unresponsive to antibiotics. Your doctor will develop a customized treatment plan based on your individual condition.

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.

Ureteropelvic Junction (UPJ) Obstruction

Ureteropelvic junction obstruction is a condition involving an impediment in the area that joins the renal pelvis to the ureters, which are responsible for sending urine into the bladder. While ureteropelvic junction obstruction is most commonly congenital, it can also occur as a result of infection, kidney stones, infection, or scar tissues. Ureteropelvic junction obstruction does not always present symptoms; in some cases, however, affected patients may experience fever, bloody urine, kidney infection, urinary tract infection, abdominal mass, back or flank pain, or vomiting.

Congenital ureteropelvic junction obstruction is often diagnosed in the womb during a routine ultrasound examination. After birth, this condition may be diagnosed through a voiding cystourethrogram, CT scan, nuclear scan of the kidneys, or other tests.

Surgery is necessary to correct ureteropelvic junction obstruction and improve urinary flow. Infants typically undergo open surgery, while adults and older children may be eligible for minimally-invasive procedures that allow for quicker recovery times. After receiving proper care, most people recover well from ureteropelvic junction obstruction and experience minimal to no complications.

 

For more information please call us at 415-422-0003 (San Francisco) or 650-991-3064 (Daly City) or email us.

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