The main goal in the management of children with neurogenic bladder is to preserve renal function and assure a socially acceptable continence. Urodynamic testing based on cystomanometry evaluation of intravesical pressure and flow measurement, at present is considered the examination of first choice in the diagnosis of neurogenic micturition disorders to better classify the type of bladder based on the risk of upper urinary tract impairment and be able to plan a specific, personalized management.