ABSTRACT
A neuropathic bladder in the newborn is usually associated with anomalies of other systems, and is often congenital, but occasionally acquired (Box 92.1). With the advent of prenatal ultrasound, congenital causes of a neuropathic bladder are now frequently identified prior to birth. The findings before birth can range from simple non-emptying of a large bladder, to marked trabeculation with secondary upper tract changes. The nature of the bladder changes and the subsequent response of the kidneys, and the response to treatment, determine the ultimate outcome for the child. The primary aim of
therapy is to preserve renal function, while attaining continence, with the least risk of subsequent iatrogenic problems.
