Neurogenic Bladder After Spinal Cord Injury and Neurological Disease
- Sep 29, 2025
- 1 min read
Updated: Aug 1
Neuro-urology concerns bladder and urinary tract problems caused or influenced by neurological injury or disease. In my practice, I assess patients whose bladder function has been affected by conditions such as spinal cord injury, multiple sclerosis, spina bifida and other neurological disorders.
Assessment of bladder function
Assessment begins with a detailed history, review of neurological and urological symptoms, medication, catheter use, urinary infections and the effect of bladder symptoms on daily life. Depending on the clinical circumstances, investigations may include urine testing, renal imaging, measurement of residual urine and urodynamic or video-urodynamic studies.
Individualised management
Management is tailored to the pattern of bladder dysfunction, the patient's hand function and mobility, their personal priorities and the need to protect the kidneys. Options may include behavioural measures, medication, intermittent catheterisation, an indwelling urethral or suprapubic catheter, intravesical botulinum toxin treatment or surgery in selected cases.
Long-term surveillance
Neurological bladder dysfunction can change over time. Follow-up may therefore include review of symptoms, renal function, urinary infections, catheter complications and upper urinary tract imaging. The objective is to maintain safe bladder pressures, reliable emptying and the best achievable continence and independence.
Patients seeking NHS care should discuss referral to an appropriate neuro-urology service with their GP or treating specialist. Private clinical enquiries can be made through the contact details on this website.
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