(Bladder, Neurogenic—Child; Neurogenic Incontinence—Child; Incontinence, Neurogenic—Child)
Neurogenic bladder is a problem with how the bladder works because of a nerve problem. Problems may include:
- Bladder empties too often
- Incontinence—bladder empties at the wrong time.
- Urinary retention—unable to completely empty the urine
- Urine leaks out of the overfilled bladder
Bladder With Nerves, Female
Neurogenic bladder is caused by damage or injury to the nerves carrying messages between the bladder and the brain. The nerve damage makes it difficult to coordinate when the bladder should empty.
Factors that increase your child's chance of neurogenic bladder include:
Symptoms may include:
- Small amount of urine
- Frequent urination
- Dribbling urine
- Inability to feel that the bladder is full
- Straining during urination
- Inability to urinate
- Overflow of urine from a full bladder
- Painful urination
- Urinary tract infection
- Kidney injury from urine backing up into the bladder
- Kidney stones
These symptoms may be caused by other conditions. If your child has any of these symptoms, talk to their doctor.
The doctor will ask about your child’s symptoms and medical history. A physical exam will also be done. The doctor may ask you to keep a diary of how often your child empties their bladder and other urinary habits. The doctor may recommend tests to rule out other conditions:
- Urinalysis—test of the urine to look for evidence of infection or kidney problems
- Blood tests—to look for evidence of kidney problems
- Bladder function tests—to measure how well the muscles of the bladder respond to filling and emptying
Imaging tests may also be done to evaluate the bladder and urinary tract. These may include:
Talk with the doctor about the best treatment plan for your child. Treatment options include the following:
The doctor may recommend that your child take antibiotics to prevent urinary tract infections.
Other medication may also be used to improve bladder function.
A thin tube, called a catheter, can be inserted to empty your child’s bladder. You can learn to do this for your child, or a trained healthcare professional may do it.
Most cases of neurogenic bladder cannot be prevented.
National Association for Continence
Urology Care Foundation
BC Health Guide
Canadian/American Spinal Research Organization
Neurogenic bladder. Boston Children’s Hospital website. Available at: http://www.childrenshospital.org/health-topics/conditions/neurogenic-bladder. Accessed June 25, 2013.
Neurogenic bladder. Children’s Hospital of Wisconsin website. Available at: http://www.chw.org/medical-care/urology/urology-overview/neurogenic-bladder. Accessed June 25, 2013.
Neurogenic bladder. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=9. Accessed June 25, 2013.
Last reviewed January 2015 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.