Neurogenic Bladder in Pediatrics and Adolescents

• DOI: 10.1007/s11884-012-0131-1
• Publication Date: 2012-04-11T03:28:50Z
• Authors: Peter P. Stuhldreher; Edward E. Cherullo; Robert Kohut
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Neurogenic bladder in the pediatric population underwent an evolution in treatment patterns during the 20th century. This paradigm change began with an evolving understanding of the health risks children with this condition face and the variable pathophysiology resulting in their condition. Introduction of clean intermittent catheterization and anticholinergic medication revolutionized care of these young patients. Advances in our knowledge of bladder pathology, and novel techniques to improve lower urinary tract function have made a variety of treatments available to patients. Although some similarities exist between adult and pediatric neurogenic bladder, the pediatric patient provides unique challenges with growth and development and helping children gain independence. Presented is a review of the treatment options and an algorithm to support the two main goals of treatment: protection of the upper urinary tract from renal function deterioration and development of social continence.