[Management of neurogenic bladder].
The neurogenic bladder is a complex entity whose clinical presentation ranges between a micturition and continence dysfunction. A specialized work-up which entails a well oriented patient history, a neuro-urologic pelvic examination so as a video-urodynamic study allows to caracterize functionally neurogenic bladders. This enables to diagnose a failure to store and/or to empty. Whether medical or surgical, management is further coordinated on a multidisciplinary basis by the urologist who is in charge of bringing together medical and paramedical caregivers. The patient may also benefit of a multidisciplinary consult. Regular long-term follow-up is essential, in order to ensure optimal equilibrium between storage and emptying bladder function, and to prevent significant renal and infectious complications.
Schwartz
Julien
J
Service d'urologie, Département de chirurgie, Faculté de médecine, Université de Genève, HUG, 1211 Genève 14.
Iselin
Christophe
C
D006801:Humans; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis* / Q000628:therapy*