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The urological evaluation and management of neurogenic bladder in children and adolescents—what every pediatric nephrologist needs to know

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A Correction to this article was published on 06 September 2023

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Abstract

Neurogenic bladder (NGB) is an encompassing term that includes multiple causes of bladder dysfunction linked to a congenital or acquired neurological condition that adversely impacts the innervation of the lower urinary tract. Multiple static or progressive conditions can be associated with NGB in pediatric and adolescent patients. Currently, spinal dysraphism (i.e., spina bifida) is one of the most common etiologies, which occurs in 3–4 per 10,000 live births in developed nations. Abnormal bladder dynamics can lead to kidney damage secondary to high pressures or recurrent infections, as well as urinary incontinence. The current management paradigm centers on a proactive approach to preserving kidney function and achieving continence through behavioral, pharmacological, and surgical means. This educational review highlights the key components of urological management to maximize collaboration with pediatric nephrologists.

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  1. Division of Urology, Department of Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada

    Natasha Brownrigg, Armando J. Lorenzo, Mandy Rickard & Joana Dos Santos

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  1. Natasha Brownrigg
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Brownrigg, N., Lorenzo, A.J., Rickard, M. et al. The urological evaluation and management of neurogenic bladder in children and adolescents—what every pediatric nephrologist needs to know. Pediatr Nephrol 39, 409–421 (2024). https://doi.org/10.1007/s00467-023-06064-z

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