Neurogenic Bladder

Abstract

Normal bladder physiology is a complex system of receptor types and nervous system innervation. Regardless of the specific neurologic condition or injury, disruptions along many portions of the central or peripheral nervous systems will result in altered bladder functioning, known as a neurogenic bladder. This chapter describes that interplay between neurologic processes and bladder pathophysiology. The results of inadequately managed neurogenic bladder can have significant morbidity and even mortality. The neurogenic bladder must be adequately evaluated and managed to ensure a low bladder pressure environment that allows for controlled and complete bladder emptying. This chapter discusses that evaluation and management as well as the currently available medications, procedures, and technology to optimize short- and long-term outcomes for individuals with neurogenic bladder.