Neurogenic Bladder in Children
What is a neurogenic bladder?
Neurogenic bladder may also be called neuropathic bladder. Normally, the muscles and
nerves of the urinary system work together to hold urine in the bladder and then release
it at the appropriate time. Nerves carry messages from the bladder to the brain and
from the brain to the muscles of the bladder telling them either to tighten or release.
In a neurogenic bladder, the nerves that are supposed to carry these messages do not
work properly, essentially paralyzing the bladder.
What causes neurogenic bladder?
In children a neurogenic bladder may be secondary to a birth defect or it may be acquired
as the result of a different problem. The following are some of the most common causes
of neurogenic bladder:
Spina bifida. A defect that occurs during early fetal development. The defect consists of incomplete
bony closure of the spinal cord through which the spinal cord may or may not protrude.
Spinal cord trauma
Central nervous system tumors
In many cases, neurogenic bladder is associated with the following:
Urine leakage. This often occurs when the muscles holding urine in the bladder do not get the right
Urine retention. This often happens if the muscles holding urine in the bladder do not get the message
that it is time to let go.
Damage to the tiny blood vessels in the kidney. This often happens if the bladder becomes too full and urine backs up into the kidneys,
causing extra pressure.
Infection of the bladder or ureters. This often results from urine that is held too long before being eliminated.
What are the symptoms of neurogenic bladder?
Each child may experience symptoms differently. Symptoms of neurogenic bladder may
vary depending on the cause and other associated conditions.
The symptoms of neurogenic bladder sometimes look like other conditions or medical
problems. Always see your baby's health care provider for a diagnosis.
How is a neurogenic bladder diagnosed?
In addition to a complete medical history and physical exam, tests to diagnose neurogenic
bladder may include:
What is the treatment for a neurogenic bladder?
Your baby’s health care provider will figure out the best treatment for your baby
How old your baby is
His or her overall health and medical history
How sick he or she is
How well your baby can handle specific medications, procedures, or therapies
How long the condition is expected to last
Your opinion or preference
Treatment may include:
Insertion of a catheter or hollow tube to empty the bladder at regular intervals
Prophylactic (preventive) antibiotic therapy to reduce the incidence of infection
Placement of an artificial sphincter. A procedure that involves placing an artificial
cuff around the neck of the bladder that can be inflated to prevent urinary incontinence
and deflated when it is time to empty the bladder. These children will still require
intermittent catheterization to completely empty the bladder.
Please consult your doctor with any questions or concerns you may have regarding your