Bladder dysfunction with diabetes mellitus

Diabetes can affect the bladder function in a number of different ways. Read this article to find out more.

Diabetes can affect the bladder function in a number of different ways:

Glycosuria – glucose in the urine can irritate the bladder and cause urgency and frequency
Polyuria – passing more than three litres of fluid a day is a main symptom of both type 1 and type 2 diabetes
Detrusor hyperreflexia – the bladder muscle can become hyper-sensitive causing symptoms of an over overactive bladder dry/wet and often with nocturia
Detrusor hyporeflexia – the detrusor muscle can become hypo-contractility, causing incomplete bladder emptying, a hypotonic bladder
Diabetic neuropathy – due to damage to the somatic and autonomic nervous system, this causes decreased bladder sensation, increased bladder capacity and impaired detrusor contractility. This is known as diabetic cystopathy. This will cause a hypotonic bladder
Risk of urinary tract infection (UTI) – caused by glucose in urine and residual urine in bladder

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