ABSTRACT
Vesicourethral dysfunction secondary to degenerative processes, traumas, or neoplasia of the central or peripheral nervous system will most certainly has a deleterious effect on the patient’s quality of life. Whenever the clinical situation permits, clean intermittent catheterization is one of the major approaches taken to ensure adequate bladder emptying. Other techniques have been proposed in the past but are much less used or completely abandoned in the modern approach of neurogenic bladders. Neurostimulation is the term used when electrical stimulation is applied directly to a nerve fiber to achieve a desired function. Two main surgical procedures have been proposed in the literature to decrease detrusor overactivity and/or to manage low-compliant bladders: partial detrusorectomy and enterocystoplasty. Social/vocational flexibility may be more important to them than state-of-the-art bladder management programs. Future research should focus on obtaining more representative samples and investigate psycho-social-vocational implications as well as additional clinical-medical factors.”
