Adolescent/Early Adult Former Pediatric Neurogenic Patients: Special Considerations

Abstract

Patients with congenital neurogenic dysfunction of the lower urinary tract are at risk of long-term renal dysfunction and failure; therefore, early diagnosis and close monitoring of these patients from infancy to adulthood is crucial to providing effective urological care. The diagnosis of “neurogenic bladder” is often used to describe this patient population, which includes patients with diverse disease processes and varied prognoses who may benefit from distinct interventions. Detailed history, physical examination, laboratory, and radiological workup are necessary to correctly manage these patients and prevent long-term sequelae of voiding dysfunction. This chapter presents index cases from three categories of patients with neurogenic dysfunction of the lower urinary tract, including their clinical presentation, workup, and treatment course. Lastly, we discuss the implications of neurogenic bladder on the indications and evaluation for renal transplantation.