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В норме мозг получает сигналы о наполнении мочевого пузыря и подаёт команды к его опорожнению, но при этом заболевании связь между мозгом и мочевым пузырём нарушается [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). Это приводит к неконтролируемому мочеиспусканию или, наоборот, задержке мочи [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/).\n\n\n\n## Причины\nНекоторые причины нейрогенного мочевого пузыря: \n* **Поражения нервной системы** (инсульт, рассеянный склероз, травмы позвоночника) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **Сахарный диабет** (нейропатия) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **Опухоли головного или спинного мозга** [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **Врождённые аномалии** (например, спина бифида) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n\nУ детей нарушение мочеиспускания обычно носит врождённый характер, может проявиться из-за дефекта развития центральной нервной системы или позвоночника, а также родовых травм спинного мозга [3](https://www.MedCentrServis.ru/disease/neyrogennuy-mochevoy-puzir/).\n\n## Симптомы\nХарактер проявлений зависит от области нервной системы, которая травмирована [3](https://www.MedCentrServis.ru/disease/neyrogennuy-mochevoy-puzir/): \n* **При поражении выше моста головного мозга** — трудности в фазе накопления мочи: непроизвольное мочеиспускание при минимальных позывах, частое мочеиспускание или недержание мочи, отсутствие остаточной мочи после опорожнения мочевого пузыря [10](https://doct.ru/articles/nejrogennyj-mochevoj-puzyr.html). \n* **При поражении на уровне спинного мозга выше крестца** — симптомы, связанные как с нарушением накопления мочи, так и с затруднением её опорожнения: прерывистое мочеиспускание, значительное количество остаточной мочи после мочеиспускания, учащённое мочеиспускание, которое может сопровождаться недержанием мочи или её задержкой [10](https://doct.ru/articles/nejrogennyj-mochevoj-puzyr.html). \n* **При поражении нервной системы на уровне крестца и ниже** — проблемы с мочеиспусканием в основном связаны с нарушением фазы опорожнения мочевого пузыря, в то время как фаза накопления мочи обычно остаётся нормальной [10](https://doct.ru/articles/nejrogennyj-mochevoj-puzyr.html).\n\n## Диагностика\nДля диагностики нейрогенного мочевого пузыря используют: \n* **Анализы мочи и крови** (общий, биохимический, посев) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **УЗИ** (почек, мочевого пузыря с определением остаточной мочи) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **Урофлоуметрию** (оценку скорости мочеиспускания) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **МРТ** (пояснично-крестцового отдела, головного мозга) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/). \n* **Дневник мочеиспусканий** (заполняется пациентом) [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-urologiya/nejrogennyj-mochevoj-puzyr/).\n\n## Лечение\n**Терапия проводится совместно врачом-урологом и неврологом** [13](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/neurogenic-bladder). 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