Definition

Disrupted urine storage or emptying caused by a nervous-system condition.

Symptoms

Leakage, difficulty voiding, incomplete emptying or infection; symptoms may be limited.

How it may be discovered

May accompany spinal cord injury, multiple sclerosis or other neurological disease.

When to seek care

Assessment can be important even without major discomfort, to protect bladder and kidney function.

Investigations and tests

History, examination, bladder diary, renal function, ultrasound and risk-based urodynamics.

Reaching a diagnosis

Testing identifies poor emptying or excessive pressure and guides individual follow-up.

Treatment options

Self-catheterisation when indicated, medicines, botulinum toxin and occasionally surgery; education and renal monitoring remain essential.

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