How to treat bedwetting and urinary urgency caused by spina bifida

Patient's question:

I was injured in an accident, and I had a fifth lumbar vertebrae fracture. Since then, I've been experiencing frequent urination and urgency. I went to the hospital for a check-up, and the doctor said it was caused by the vertebrae fracture. However, my spine won't heal so quickly. How can it be treated effectively?

Doctor's answer:

Neurogenic overactive bladder caused by hyperesthesia is characterized by frequent urination and nocturnal enuresis. It can be definitively diagnosed through urodynamic tests, after which medications such as tolterodine tablets can be prescribed for continuous treatment of more than 4 weeks to effectively alleviate symptoms. Nocturnal enuresis may occur before the development of neurological disorders in children, but most children will recover as they grow older. This is a neurological factor but does not cause urinary tract infections.

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