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The non-neurogenic neurogenic bladder

The Journal of Urology

|February 1, 1977

Summary

Neuropathic bladder disease in children is an acquired functional disorder due to detrusor-sphincter discoordination. Bladder retraining and medication offer better outcomes than surgery alone.

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Area of Science:

Pediatric Urology
Neurology
Urodynamics

Background:

Neuropathic bladder disease (NBD) in children is often acquired.
Understanding its functional basis is crucial for effective treatment.

Observation:

Reviewed records of 21 children diagnosed with NBD.
Urodynamic testing results were analyzed to understand disease mechanisms.

Findings:

NBD in children aligns with an acquired functional disorder.
Disease is characterized by discoordination between detrusor muscle contraction and sphincter relaxation.
Urodynamic findings support Hinman's theory of functional discoordination.

Implications:

Bladder retraining and specific medications show superior efficacy compared to historical surgical interventions.
Non-surgical approaches represent a significant advancement in managing pediatric NBD.
This study highlights the importance of functional assessment in NBD treatment strategies.

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