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Also these aren't necessarily going to fix the problem permanently. Urodynamic evaluation often reveals detrusor hyperreflexia, although a few patients may have detrusor areflexia or poorly sustained bladder contractions. Symptoms specific to the urinary bladder include urinary frequency, urinary urgency, nocturia, and urge incontinence. Sympathetic nerve atrophy causes nonfunctional bladder and an open bladder neck. Accepting that, and having the right urine odor and stain removal products at hand can make it less frustrating. Neurologic evaluation will reveal skeletal muscle spasticity with hyperreflexic deep tendon reflexes.