Neurogenic Bladder in Infants and Children

  • Erich SorantinEmail author
  • R. Fotter
  • K. Braun
Part of the Medical Radiology book series (MEDRAD)


The bladder can be divided into three parts: apex, body, and fundus. The detrusor muscle corresponds to the smooth muscle component of the bladder and forms a complex mesh of muscle bundles extending into the bladder neck as well as surrounding of the proximal urethra – thus forming the internal urethral sphincter. The striated external sphincter covers only the distal part of the internal urethral sphincter and extends than downwards to the level of the urogenital diaphragm. In the normal case, a single ureter, on each body side, enters the bladder on the lateral circumference at an angle of less than 45°. The trigone represents the area between the two ureteric orifices and the internal urethral meatus.


  1. Bauer SB, Joseph D (1990) Management of the obstructed urinary tract associated with neurogenic bladder dysfunction. Urol Clin North Am 17:395–405PubMedGoogle Scholar
  2. Drzewiecki B, Bauer S (2011) Urodynamic testing in children: indications, technique, interpretation and significance. J Urol 186(4):1190–1197CrossRefPubMedGoogle Scholar
  3. Fotter R (1996) Neurogenic bladder in infants and children – a new challenge for the radiologist. Abdom Imaging 21:534–540CrossRefPubMedGoogle Scholar
  4. Fotter R, Kopp W, Klein E (1986) Unstable bladder in children: functional evaluation by modified voiding cystourethrography. Radiology 161:812–813CrossRefGoogle Scholar
  5. Galloway NTM, Mekras JA, Helms M (1991) An objective score to predict upper tract deterioration in myelodysplasia. J Urol 145:535–539CrossRefPubMedGoogle Scholar
  6. Ghoniem GM, Bloom DA, McGuire EJ (1989) Bladder compliance in meningomyelocele children. J Urol 141:1404–1406CrossRefPubMedGoogle Scholar
  7. Ghoniem GM, Roach MB, Lewis VH, Harmon EP (1990) The value of leak pressure and bladder compliance in the urodynamic evaluation of meningomyelocele patients. J Urol. 144(6):1440–2.CrossRefPubMedGoogle Scholar
  8. Goepel M, Krege S, Portgys P (1999) Urologische Diagnostik bei Kindern mit Myelomeningozele. Urologe 38:10–13CrossRefPubMedGoogle Scholar
  9. Houle A, Gilmour R, Churchill B (1993) What a volume can child normally store in the bladder at a safe pressure? J Urol 149:561–564CrossRefPubMedGoogle Scholar
  10. Hayashi Y, Yamataka A, Kaneyama K (2006) Review of 86 patients with myelodysplasia and neurogenic bladder who underwent sigmoidocolocystoplasty and were followed more than 10 years. J Urol 176:1806–1809CrossRefPubMedGoogle Scholar
  11. Kasabian NG, Bauer SB, Dyro FM (1992) The prophylactic value of clean intermittent catheterization and anticholinergic medication in newborns and infants with myelodysplasia at risk and developing urinary tract deterioration. Am J Dis Child 146:840–843PubMedGoogle Scholar
  12. Koff S (1983) Estimating bladder capacity in children. Urology 21:248CrossRefPubMedGoogle Scholar
  13. Kurzrock EA, Polse S (1998) Renal deterioration in myelodysplastic children: urodynamic evaluation and clinical correlates. J Urol 159:1657–1661CrossRefPubMedGoogle Scholar
  14. McGuire EJ, Woodside JR, Bordin TA (1981) Prognostic value of urodynamic testing in myelodysplastic children. J Urol 126:205–209CrossRefPubMedGoogle Scholar
  15. Ozkan KU, Bauer SB, Khoshbin S (2006) Neurogenic bladder dysfunction after sacrococcygeal teratoma resection. J Urol 175:292–296CrossRefPubMedGoogle Scholar
  16. Özkan B, Demirkesen O, Durak H (2005) Which factors predict upper urinary tract deterioration in overactive neurogenic bladder dysfunction? Urology 66:99–104CrossRefPubMedGoogle Scholar
  17. Morrisroe SN, O’Connor RC, Nanigian DK (2005) Vesicostomy revisited: the best treatment for the hostile bladder in myelodysplastic children? BJU Int 97:397–400CrossRefGoogle Scholar
  18. Palmer L, Richards I, Kaplan W (1997) Age-related bladder capacity and bladder capacity growth in children with myelomeningocele. J Urol 158:1261–1264CrossRefPubMedGoogle Scholar
  19. Rickwood AMK, Thomas DG, Philip NH (1982) A system of management of the congenital neuropathic bladder based upon combined urodynamic and radiological assessment. Br J Urol 54:507–511CrossRefPubMedGoogle Scholar
  20. Seki N, Masuda K, Kinukawa N (2004) Risk factors for febrile urinary tract infection in children with myelodysplasia treated by clean intermittent catheterization. Int J Urol 11:973–977CrossRefPubMedGoogle Scholar
  21. Stein R, Wiesner C, Beetz R (2005) Urinary diversion in children and adolescents with neurogenic bladder: the Mainz experience – Part II: continent cutaneous diversion using the Mainz pouch I. Pediatr Nephrol 20:926–931CrossRefPubMedGoogle Scholar
  22. Zerin JM, Chen E, Ritchey ML, Bloom DA (1993) Bladder capacity as measured at voiding cystourethrography in children: relationship to toilet training and frequency of micturition. Radiology 187(3):803–806CrossRefPubMedGoogle Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Radiology, Division of Pediatric RadiologyMedical University GrazGrazAustria
  2. 2.Department of Pediatric and Adolescent SurgeryMedical University GrazGrazAustria

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