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Urinary and Genital Disorders (Children)

Bladder Spasms

11/06/2008

Question:

My 16 year old is mildly retarded and has had seizures all her life. Now she completly freezes breifly and then wets herself. I have had severe bladder spasms but not like this. Her urologist said she had the largest bladder he had ever seen. I fear her seizures have changed. My mother would rather believe they are bladder spasms. Please shed some light, please. Thank you.

Answer:

Your daughter's bladder problem sounds complicated. Often they have an overactive bladder, which can be treated by an anticholinergic medication such as oxybutynin. However, if the bladder is enlarged, administration of an anticholinergic medication might put her into urinary retention. It sounds like she needs a more thorough evaluation by a urologist who specializes in voiding dysfunction.

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Response by:

Jack S Elder, MD, FACS, FAAP Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University