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Neurogenic Bladder Dysfunction

Z Urology specializes in diagnosing and treating neurogenic bladder—or loss of bladder control. Our board-certified urologists help you manage this condition and improve your overall urinary health.
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What is Neurogenic Bladder? 

Neurogenic bladder is a condition where the nerves controlling bladder function are disrupted, causing the loss of proper bladder control. This can result in an overactive or underactive bladder. Neurogenic bladder can significantly impact your quality of life. Proper management and treatment can help you regain improved bladder control.

Overactive Bladder

Frequent, uncontrolled urination with low capacity and incomplete emptying.

An overactive neurogenic bladder can be seen in patients with strokes, brain diseases, or Parkinson’s disease.

Underactive Bladder

A diminished sense of fullness and the inability to contract sphincter muscles effectively.

Underactive neurogenic bladder is common in patients with diabetes, polio, syphilis, multiple sclerosis, or prior pelvic surgeries

Neurogenic Bladder Symptoms

Common signs and symptoms of neurogenic bladder dysfunction can include:

  • Urinary incontinence (loss of bladder control)
  • Urinary retention (inability to empty the bladder completely)
  • Frequent urinary tract infections
  • Weak or dribbling urine stream
  • Feeling a sudden urge to urinate
  • Nocturia (frequent nighttime urination)
  • Overflow incontinence

If you have uncontrollable urinary symptoms, contact an expert urologist.

Find Effective Neurogenic Bladder Treatment

At Z Urology, we offer comprehensive diagnostic tests and innovative treatments for neurogenic bladder. Some common neurogenic bladder treatments can include the following.

Sacral Neuromodulation

Sacral neuromodulation (SNM) is an implant that emits electrical impulses that stimulate sacral nerves for improved bladder control.

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Bladder Botox Injections

Botox injections into the bladder can relax the bladder muscles to increase storage capacity and reduce incontinence.

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Urinary Reconstruction

Surgical options may be necessary for severe cases of neurogenic bladder dysfunction. Urinary reconstruction (UR) can be a long-term solution for improved bladder function.

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Personalized Treatment Plans

Lifestyle modifications are tailored to each patient's needs. This may include dietary changes, limiting alcohol, and constipation management.

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Clean Intermittent Catheterization (CIC)

For patients who struggle to fully empty the bladder, self-catheterization can help to manage urinary retention. Z Urology educates patients through this process.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

Neurogenic bladder can be uncomfortable and impact your daily life. With proper treatment and management, you can achieve improved bladder control and comfort. Contact Z Urology today for expert diagnosis, treatment, and care in South Florida!
Schedule an Appointment
or Call (954) 714-8200
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