Video duration 42 minutes 42 seconds
The German Urological Association said that the nervous bladder means the urgent desire to urinate not due to an increase in the amount of urine in the bladder, but rather because of psychological tension or anxiety and fear, as physical symptoms may be due to psychological causes also in what is known as psychosomatic diseases.
She explained that the influence of the bladder on the psychological state is due to the fact that the bladder is controlled by the nervous system and centers in the brain, and from here signals are sent to the muscles of the bladder and pelvic floor through nerve pathways and neurotransmitters.
behavioral training
Improvement can be felt through behavioral training. In this exercise, the number of times to go to the toilet and the amount of drinks that entered the body are recorded in a daily log.
Doctors recommend increasing the interval between going to the toilet little by little. Even a small period, such as a quarter of an hour, helps improve bladder function.
You should also pay attention to the diet, coffee causes irritation of the bladder, and the bladder is sensitive to heat in the area of the feet.
If the previous measures did not succeed in achieving a significant improvement, the doctor moves to the next stage, which is the activation or damping of the bladder function through the parasympathetic nervous system by depressants of the parasympathetic nervous system, and antidepressants may also be used.
Botox
The German Society indicated positive experiences with Botox injections into the bladder muscle, as this treatment method has very few side effects, which leads to quick successes, but the injection must be repeated after 6 months.
In addition, neurogenic bladder can be countered with pelvic floor muscle strengthening exercises or relaxation techniques.