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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Please discuss Neuro Related Bladder I am 58 yo female

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14574 Questions

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Posted on Tue, 26 Feb 2019 in Sleep Disorders
Question: Please discuss Neuro Related Bladder
I am 58 yo female S/P Rt Temporal AVM Resection 15 yrs ago and have been incontinent since the surgery--partially. I have no sensation to tell me that I need to empty my bladder. I have been evaluated by urology and all tests are negative and I have tried all the new meds that have come out and even some oldie goldies without success. Now a disabled nurse, how common is it??
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
Neurogenic bladder is not seen after brain surgery.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Neurogenic bladder is seen after spinal cord pathology.
It is not seen after brain surgery.
Till date there is no case reported like this.
Temporal AVM (Atriovenous Malformation) resection can cause complications like seizures or memory loss or some behavior changes.
But it can not cause neurogenic bladder. So neurogenic bladder after temporal AVM resection is not at all common, you might be the first case.
Do you have any spinal cord pathology or trauma or surgery?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar 41 minutes later
Aside from T 7-8, L4-5, S1 nursing injuries, no. I have seen 3 urologists who keep wanting to blame it on my head. I myself have 18 years ER Nursing and 3 years NICU experience. I have not seen it either....

Thanks very much. Have a good night.
doctor
Answered by Dr. Kaushal Bhavsar 0 minute later
Brief Answer:
If all reports are normal then this can be due to stress or anxiety.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Since your all reports are normal, no need to worry much for spinal cord or bladder related diseases.
You might be thinking too much and end up in this.
So put your mind at rest and think positively.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar 1 minute later
How did this go from Neurology to Pulmonology?
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