Jozef Marenčák
Neurogenic bladder dysfunction results from a variety of neurologic pathologies and can lead to significant patient
morbidity and mortality. Altered bladder innervation can significantly impact patient’s quality of life and lead to progressive
renal deterioration, urinary tract infection. This article evaluates both minimally invasive as well as surgical
treatment of patients with neurogenic urinary bladder. Indications for surgery include failure of drug and conservative
therapy, inability to perform or patient aversion to clean intermittent catheterisation, refractory incontinence,
and complications from chronic indwelling catheter. The goals of optimal management in patients with neurogenic
lower urinary tract symptoms are to reduce pressure in the lower urinary tract, improve bladder wall compliance,
protect the upper urinary tract from damage and infection and p rovide controlled micturition without incontinence.