Diagnosis and clinical evaluation of neurogenic bladder

Eur J Phys Rehabil Med. 2017 Dec;53(6):975-980. doi: 10.23736/S1973-9087.17.04992-9. Epub 2017 Oct 25.


Neurologic diseases lead to urinary dysfunctions. The aim of this article was to present an overview of diagnosis and evaluation of neurogenic bladder with a special focus on urodynamic tests. Overactive bladder, with high detrusor pressure associated with detrusor sphincter dyssynergia, can lead to severe complications with renal failure, upper urinary tract dilatation and infectious complications. Underactive bladder with voiding dysfunction and urinary retention, is also a risk factor of urological alterations. Full clinical examinations, including urodynamics and selective radiographic imaging studies, are essential to best manage these patients.

Publication types

  • Review

MeSH terms

  • Humans
  • Nervous System Diseases / complications*
  • Nervous System Diseases / physiopathology
  • Nervous System Diseases / therapy
  • Urinary Bladder, Neurogenic / diagnosis*
  • Urinary Bladder, Neurogenic / etiology*
  • Urinary Bladder, Neurogenic / therapy
  • Urodynamics