Fate of nonneurogenic neurogenic bladder--end-stage renal failure

The nonneurogenic neurogenic bladder syndrome which actually comprises a large spectrum of clinical radiological, psychological and behavioral disorders, is manifested by bladder-sphincter incoordination and constitutes a very complex problem of overall management. The condition refers to infravesical functional obstruction in children in whom no anatomic or neurological defect is demonstrated. Although the etiologic bases are often unclear, successful management of urinary infection and reflux and prevention of upper tract deterioration are achievable by multidisciplinary conservative measures, sometimes reinforced by ureteric reimplantation. End-stage renal failure due to this syndrome is a rare complication. The presented case demonstrates well all the clinical features of this syndrome, which unfortunately ended in hemodialysis.