Neurogenic bladder due to nerve root impingement at L4/L5 | Gleneagles Hospital
Neurogenic bladder due to nerve root impingement at L4/L5
I have problem urinating which I have to strain with my lowe ab muscle to push the urine out. Last year I got diagnosed with neurogenic bladder caused by nerve root impingement at L4/L5 due to diffuse disc buldge. I've been seeing urologist and tried a few medicines but it didn't see any much improvement. Is there anything else I can do, for instance, if I go to consult orthopaedic specialized in spine, will this help to solve the root problem? I'm frustrated as I have gotten 4-5 UTIs in the past 1 year due to inability to empty my bladder properly.

Answer:

I'm sorry to hear about your condition. It's important to manage neurogenic bladder caused by nerve root impingement promptly to alleviate your symptoms. Below are some potential solutions I can recommend as a general practitioner:

1. **Medication:** Your doctor may prescribe medications such as anticholinergics to help relax the bladder muscles and improve bladder function.

2. **Intermittent catheterization:** If necessary, your healthcare provider may teach you how to use intermittent self-catheterization to empty your bladder completely.

3. **Pelvic floor exercises:** Physical therapy focusing on pelvic floor exercises can help strengthen the muscles that control urination and improve your ability to empty your bladder.

4. **Lifestyle modifications:** Avoiding caffeine, maintaining a healthy weight, and practicing timed voiding can also help manage symptoms of neurogenic bladder.

5. **Surgery:** In severe cases where conservative measures are ineffective, surgery to relieve pressure on the nerves causing the bladder dysfunction may be an option.It's crucial to work closely with your healthcare provider to tailor a treatment plan that is appropriate for your specific condition. A more recent MRI scan is needed to ascertain the diagnosis. Depending on the severity and level of the stenosis, further evaluation is needed before we embark on surgery. Screening for underlying medical conditions would beneficial as well.

 

Any advice, recommendations, or information provided by the Company, its affiliates, employees, moderators, medical practitioners, and representatives within the Forum is not to be taken as conclusive advice. It is intended as a suggestion and not a substitute for consulting with qualified medical practitioners. Users are encouraged to seek professional advice tailored to their specific circumstances. 


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Last Edited: 06 Jun 2025
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