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Updated: Jun 16, 2026

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Published on: August 28, 2020
[Management of neurogenic bladder]
Julien Schwartz1, Christophe Iselin
1Service d'urologie, Département de chirurgie, Faculté de médecine, Université de Genève, HUG, 1211 Genève 14.
Neurogenic bladder, a dysfunction in urination and continence, requires specialized evaluation including patient history, pelvic exam, and urodynamic studies. Management involves a multidisciplinary approach and long-term follow-up to prevent complications.
Area of Science:
- Neuro-urology
- Urodynamics
- Bladder dysfunction
Context:
- Neurogenic bladder presents as a complex clinical entity.
- Symptoms range from micturition dysfunction to continence issues.
- Requires specialized diagnostic work-up.
Purpose:
- To characterize functionally neurogenic bladders.
- To diagnose storage and/or emptying failures.
- To guide appropriate medical or surgical management.
Summary:
- A comprehensive neuro-urologic work-up, including patient history, pelvic examination, and video-urodynamic studies, is crucial.
- This evaluation identifies storage and/or emptying failures characteristic of neurogenic bladders.
- Management is coordinated multidisciplinary, involving urologists, medical, and paramedical caregivers.
Impact:
- Facilitates accurate diagnosis of neurogenic bladder.
- Enables tailored, multidisciplinary management strategies.
- Essential for long-term patient care, optimizing bladder function and preventing renal and infectious complications.
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