Urinary Incontinence Or Retention
Urinary incontinence or retention are symptoms of diabetic neuropathy some patients present with. When an individual is unable to hold urine in their bladder properly, it is called urinary incontinence. When an individual is unable to empty their bladder properly, it is called urinary retention. The actions of the bladder are controlled by the individual's autonomic nervous system that acts unconsciously to regulate numerous bodily functions. Patients with autonomic neuropathy can experience urinary incontinence if there is a disruption in the nerve signals that tell the internal and external urethral sphincters when to contract and relax. Incontinence can also occur if there is a disturbance in the signals being sent to and from the bladder muscle itself, causing it to contract and leak out urine inappropriately. The patient may experience urinary retention when the signals from the brain do not reach the bladder or urinary sphincters at all, or when the signals do not stimulate a bladder muscle contraction at the correct timing in relation to sphincter relaxation. This signal obstruction can cause the patient to be unable to empty the bladder fully or urinary retention.
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