Neurogenic bladder

Abstract

Neurogenic bladder can result from a wide variety of congenital anomalies, the most common of which is spinal dysraphism. The primary functions of the bladder are to store and empty urine through coordinated activity of the detrusor muscle and urinary sphincter, and dysregulation may result in leakage of urine, elevated pressures (storage or voiding), or inefficient emptying.This in turn can have dramatic effects on quality of life. Patients with neurogenic bladder are at risk for progressive injury to the urinary tract, including the kidneys. Appropriate attention and management are crucial to avoiding chronic kidney disease, achieving dryness, and improving quality of life. This chapter discusses etiology, workup, management and treatment options for patients with neurogenic bladder.