Neurogenic bladder means the nerves that talk to the bladder are off-line, so the organ can’t fill, store, or empty like it should. The result is a mix of leaks, floods, and leftover urine.

Urgency floods are common. A sudden “gotta go” hits and you may leak before reaching the toilet, or the bladder empties completely without warning.

Retention shows the other side. You feel full but only dribble, or need to push or catheterize to get urine out.

Frequency climbs. Because the bladder never fully empties, it refills fast—hourly trips day and night.

Leakage between voids is typical. Small spurts escape when you cough, transfer from chair to bed, or simply roll over at night.

Infection loops back. Cloudy urine, burning, or fever appear often because stagnant urine breeds bacteria.

Late signs include a swollen lower belly, back-up pain in the flanks, or blood in the urine—an alarm that the kidneys are stressed.