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Neuropathic Bladder

A neurogenic bladder is a bladder that doesn’t empty or store urine properly due to a neurological condition or spinal cord injury.  Neurogenic bladder is a common complication of spina bifida, a condition in which there is abnormal development of the spinal cord.  The most common symptoms of a neurogenic bladder are incontinence and/or urinary tract infections.  If left untreated, a neurogenic bladder can result in severe and permanent damage to the kidneys.  In most cases, patients with a neurogenic bladder can be managed with medication and intermittent catheterization, although some patients do require major reconstructive surgery.

Image of a patient with spina bifida and a neurogenic bladder.  Bladder is trabeculated with multiple diverticulum. Image courtesy of Dr. Phillip Silberberg, Kosair Children’s Hospital