What is Neurogenic Bladder?

Neurogenic bladder is a condition in which a child’s bladder does not function properly due to a problem with the nerves that control it. This can result from congenital conditions, neurological disorders, or spinal cord injuries. In pediatric urology, neurogenic bladder is a significant concern because it can affect a child’s ability to store and empty urine, leading to various complications.

Causes of Neurogenic Bladder in Children

Spina Bifida: A birth defect where the spine and spinal cord do not form properly, leading to nerve damage that affects bladder control.

Cerebral Palsy: A group of disorders affecting movement and muscle tone, which can also impact bladder function.

Myelomeningocele: A type of spina bifida where the spinal canal and the backbone don't close before birth.

Spinal Cord Injuries: Trauma that damages the spinal cord can disrupt the nerves controlling the bladder.

Symptoms of Neurogenic Bladder

  • Urinary Incontinence: Inability to control urination, leading to unintentional leakage.
  • Urinary Retention: Difficulty emptying the bladder completely, causing urine to remain in the bladder.
  • Frequent Urination: Needing to urinate more often than usual.
  • Urinary Tract Infections (UTIs): Frequent UTIs due to incomplete emptying of the bladder.
  • Constipation: Often associated with neurogenic bladder as the same nerve issues can affect bowel movements.

Diagnosis

  • Medical history review and physical examination.
  • Ultrasound, MRI, or CT scans to visualize the bladder, kidneys, and spine.
  • Cystoscopy

Treatment

  • Bladder Training
  • Dietary Modifications
  • Anticholinergics and Antibiotics

Neurogenic bladder in pediatric urology requires comprehensive management to ensure the child’s overall well-being. Early diagnosis and appropriate treatment can help prevent complications and improve the quality of life for affected children. Through a combination of medical, surgical, and supportive interventions, children with neurogenic bladder can lead healthier and more comfortable lives.