Neurogenic Bladder:: Assessment and Operative Management

Molly E DeWitt-Foy; Sean P Elliott

doi:10.1016/j.ucl.2022.04.010

Neurogenic Bladder:: Assessment and Operative Management

Urol Clin North Am. 2022 Aug;49(3):519-532. doi: 10.1016/j.ucl.2022.04.010. Epub 2022 Jun 30.

Authors

Molly E DeWitt-Foy¹, Sean P Elliott²

Affiliations

¹ University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA. Electronic address: dewit195@umn.edu.
² University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA.

PMID: 35931441
DOI: 10.1016/j.ucl.2022.04.010

Abstract

We present a phenotype-based approach to neurogenic bladder (NGB) by describing prototypical patients with spinal cord injury (SCI), spina bifida (SB), cerebral palsy (CP), and multiple sclerosis (MS). Surgical management is categorized by failure to store and failure to empty, with a focus on catheterizable channels, bladder augmentation, and bladder outlet procedures. Mitigation and management of common complications are reviewed. Specific attention is paid to social support, body habitus, and extremity function, as we believe a holistic approach is necessary for appropriate surgical selection.

Keywords: Bladder augmentation; Catheterizable channel; Neurogenic bladder.

Publication types

Review

MeSH terms

Humans
Spinal Cord Injuries* / complications
Spinal Cord Injuries* / surgery
Spinal Dysraphism* / complications
Spinal Dysraphism* / surgery
Urinary Bladder / surgery
Urinary Bladder, Neurogenic* / diagnosis
Urinary Bladder, Neurogenic* / etiology
Urinary Bladder, Neurogenic* / surgery
Urologic Surgical Procedures / methods