नयूरोगेनिक ब्लाद्देर

Neurogenic bladder?
just know that it is sensation and motor. motor for detrusor n sphincter . they have to cordinate (pons does this without telling us, make piece between them, making 'safe bladder But frontal lobe let us give control over this - new borns voids every where, they have a safe bladder, but not safe undies@) . depending on this volume in the bladder varies. residual volume. urine either goes up or down, dribbling or reflux.
just remember them.
now LMN, UMN,
conditions/sensation/tone D/tone S/vol/dribbling/cordination/residual/VUR
Soinal (b/w pons n sacral cord)is UMN - hyper reflex
1. acute spinalshock is like a LMN /intact sensation/ less tone D/ N tone S/ Inc vol/+dribbling/-cordination/ residual/VUR
2. chronic stage - cuts the connectios b/w pons, so no cordination, spinal centre is taking over pons - so spinal centre fires more frequently than pons, so more firing, with less volume in bladder, it makes unsafe bladder without telling the pt)sensation/tone D/tone S/vol/dribbling/cordination/residual/VUR
3. cotrex (neonates n their nappies) sensation/tone D/tone S/vol/dribbling/cordination/residual/VUR
4. denervated bladder like DM , no sensation/dec tonebec. prolonged fullness, D/tone S/inc vol/dribbling/cordination/residual/VUR - pt can urine routinely just go to toilet rgularly n empty it.
5. GBS/polio/ - areflexic no motor so can't void, + sensation/less tone D/tone S/vol/dribbling/cordination/large residual/+VUR
6. autonomouse bladder - sensory n motor lost, vesical plexus take over, no sensation, conton dribble, high residual volume,