The non-neurogenic neurogenic bladder : a case report

บทคัดย่อ

The non-neurogenic nuerogenic bladder, an uncommon reported disorder, exhibits all the features of neurogenic bladder but neither anatomical obstruction nor neurological disease can be documented.  Urinary retention in this disorder is believed to be due to incoordination between detrusor muscle of bladder and sphinctor.  A case of a 27 year old female patient was reported.  She always has repeated urinary retention and urinary tract infections after each episode of problems with her family members.  Renal dysfunction (BUN 94.4 Cr 6.8 mg%) was demonstrated, but there were no abnormalities in KUB system except poor bladder contraction.  After 4 weeks of antibiotic therapy, urinary bladder catherization and bladder training, and psychological therapy, her renal function and bladder function were recovered.