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Urinary bladder (or vesica urinaria) is one of the key components when we speak about healthy and active way of life. Issues with bladder are sure to make our days and nights troublesome. People with diabetes are often subject to these distressing symptoms as diabetes is able to affect the nerves negatively, making it difficult to control the bladder. Symptoms of vesica urinaria dysfunction may vary from frequent and urgent urination to incontinentia with complete inability to hold back urination. When a person has to get up several times during the night, he deals with an overactive bladder. Another type of an extreme is a neurogenic bladder associated with more strong symptoms including problems with bladder emptying and up to complete retention. According to several researches, this problem is more typical for people with diabetes when compared to those living without it.

A neurogenic bladder is associated not only with diabetes but also with certain infections and diseases. Among manifestations characteristic of the state are various infections of urinary organs, absence of the micturate urge with the full bladder, involuntary urination, inability to empty the bladder completely. Due to damaged nerves, a neurogenic bladder may initiate urination quite unexpectedly. The problem might go the other way round when problematic nerves prevent complete emptying the bladder. As a result, urine might get back to the kidneys and become the cause of infections and kidneys lesion.

In order to choose a suitable treatment course, the physician will need to examine the bladder, its nerves and the brain of the patient. Some of tests are x-raying and urodynamics (test of urinary tract disorders). Only after the exact problem and reasons for it have been clarified, treatment will be specified. For neurogenic bladder cases it may be stimulation of emptying the bladder through drugs and scheduled procedure of urination. In severe cases the urine is removed with the help of a catheter (a plastic tube inserted into the urethra). A course of special training may be recommended to better feel a full bladder and to empty is completely by massaging the belly. For a neurogenic bladder it can be a variant with pharma treatment, or a surgical procedure.