Skip to main content

Advertisement

SpringerLink
Log in

Management of Neurogenic Bladder

  • Review Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

This article provides a comprehensive summary of the clinical approach, investigative modalities and management of a child with neurogenic bladder disease due to myelodysplasia. It is aimed at pediatric physicians and surgeons working in developing nations. The methodologies suggested are simple and can be practised even in resource poor regions. The goal of management is avoidance of Chronic kidney disease and for this, meticulous bladder management is the key.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11

Similar content being viewed by others

References

  1. Bauer SB. Neurogenic bladder: etiology and assessment. Pediatr Nephrol Berl Ger. 2008;23:541–51.

    Article  Google Scholar 

  2. Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization Committee of the International Children’s Continence Society. J Urol. 2014;191:1863–5. e13

  3. Rouzade-Dominguez M-L, Miselis R, Valentino RJ. Central representation of bladder and colon revealed by dual transsynaptic tracing in the rat: substrates for pelvic visceral coordination. Eur J Neurosci. 2003;18:3311–24.

    Article  PubMed  Google Scholar 

  4. Sarin YK. Cutaneous stigmata of occult spinal dysraphism. J Neonatal Surg. 2013;2:15.

    Google Scholar 

  5. Frimberger D, Cheng E, Kropp BP. The current management of the neurogenic bladder in children with spina bifida. Pediatr Clin N Am. 2012;59:757–67.

    Article  Google Scholar 

  6. Youdim K, Kogan BA. Preliminary study of the safety and efficacy of extended-release oxybutynin in children. Urology. 2002;59:428–32.

    Article  PubMed  Google Scholar 

  7. Andersson KE, Chapple CR. Oxybutynin and the overactive bladder. World J Urol. 2001;19:319–23.

    Article  CAS  PubMed  Google Scholar 

  8. de Jong TPVM, Chrzan R, Klijn AJ, Dik P. Treatment of the neurogenic bladder in spina bifida. Pediatr Nephrol Berl Ger. 2008;23:889–96.

    Article  Google Scholar 

  9. Reddy PP, Borgstein NG, Nijman RJM, Ellsworth PI. Long-term efficacy and safety of tolterodine in children with neurogenic detrusor overactivity. J Pediatr Urol. 2008;4:428–33.

    Article  PubMed  Google Scholar 

  10. Reinberg Y, Crocker J, Wolpert J, Vandersteen D. Therapeutic efficacy of extended release oxybutynin chloride, and immediate release and long acting tolterodine tartrate in children with diurnal urinary incontinence. J Urol. 2003;169:317–9.

    Article  CAS  PubMed  Google Scholar 

  11. Lapides J, Diokno AC, Silber SJ, Lowe BS. Clean, intermittent self-catheterization in the treatment of urinary tract disease. J Urol. 2017;197:S122–4.

    Article  PubMed  Google Scholar 

  12. Kessler TM, Lackner J, Kiss G, Rehder P, Madersbacher H. Early proactive management improves upper urinary tract function and reduces the need for surgery in patients with myelomeningocele. Neurourol Urodyn. 2006;25:758–62.

    Article  PubMed  Google Scholar 

  13. Koff SA, Gigax MR, Jayanthi VR. Nocturnal bladder emptying: a simple technique for reversing urinary tract deterioration in children with neurogenic bladder. J Urol. 2005;174:1629–32.

    Article  PubMed  Google Scholar 

  14. Lee B, Featherstone N, Nagappan P, McCarthy L, O’Toole S. British Association of Paediatric Urologists consensus statement on the management of the neuropathic bladder. J Pediatr Urol. 2016;12:76–87.

    Article  CAS  PubMed  Google Scholar 

  15. Das AK, White MD, Longhurst PA. Sacral nerve stimulation for the management of voiding dysfunction. Rev Urol. 2000;2:43–60.

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Snodgrass WT, Elmore J, Adams R. Bladder neck sling and appendicovesicostomy without augmentation for neurogenic incontinence in children. J Urol. 2007;177:1510–4. discussion 1515

    Article  PubMed  Google Scholar 

  17. Spahn M, Kocot A, Loeser A, Kneitz B, Riedmiller H. Last resort in devastated bladder outlet: bladder neck closure and continent vesicostomy--long-term results and comparison of different techniques. Urology. 2010;75:1185–92.

    Article  PubMed  Google Scholar 

  18. Szymanski KM, Rink RC, Whittam B, Ring JD, Misseri R, Kaefer M. Long-term outcomes of the Kropp and Salle urethral lengthening bladder neck reconstruction procedures. J Pediatr Urol. 2016;12:403. e1–7

    PubMed  Google Scholar 

  19. Neel KF, Salem M, Soliman S. Total endoscopic management (TEM approach) of children with non-compliant neuropathic bladder: a preliminary report. J Pediatr Urol. 2008;4:124–6.

    Article  PubMed  Google Scholar 

  20. Sinha S. Dysfunctional voiding: a review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011;27:437–47.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Contributions

VS conceptualised the article and edited the contents. AM researched the references, prepared the figures and helped in editing the final draft. VS will act as guarantor for the paper.

Author information

Authors and Affiliations

  1. Department of Pediatric Urology and Robotic Surgery, Apollo Children’s Hospital, 15, Shafi Mohamed Road, Thousand Lights, Chennai, Tamil Nadu, 600006, India

    Venkataramani Sripathi & Aparajita Mitra

Authors
  1. Venkataramani Sripathi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Aparajita Mitra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Venkataramani Sripathi.

Ethics declarations

Conflict of Interest

None.

Source of Funding

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sripathi, V., Mitra, A. Management of Neurogenic Bladder. Indian J Pediatr 84, 545–554 (2017). https://doi.org/10.1007/s12098-017-2356-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-017-2356-7

Keywords

Search

Navigation