Neurogenic Bladder – Advanced Evaluation & Tailored Management by Dr. Premkumar K

Neurogenic Bladder is a condition where the nerves that control the bladder and urinary system do not function properly. This can lead to difficulty storing urine, emptying urine, or both. It is commonly seen in children with spinal cord issues, neurological disorders, or congenital abnormalities. Dr. Premkumar K, a specialist in Paediatric & Reconstructive Urology, provides detailed evaluation and advanced treatment to protect kidney function and ensure safe bladder management.

• Causes of Neurogenic Bladder – Spina bifida, spinal cord injuries, cerebral palsy, tethered cord syndrome, sacral agenesis, central nervous system disorders, and congenital neurological defects.

• Common Symptoms – Poor bladder emptying, urinary leakage, recurrent UTIs, frequent urination, straining to pass urine, kidney swelling (hydronephrosis), bed-wetting, and high bladder pressure affecting kidney safety.

• Diagnostic Evaluation – Ultrasound abdomen, urine tests, urodynamic study, MCU scan, DMSA kidney scan, bladder function assessment, and neurological evaluation to determine the severity and type of dysfunction.

• Bladder Management Techniques – Timed voiding, clean intermittent catheterization (CIC), bladder training, fluid guidance, and close monitoring to prevent high bladder pressure and kidney damage.

• Medication Therapy – Medicines to relax bladder muscles, reduce high bladder pressures, improve storage capacity, and control urgency or leakage based on the child’s bladder pattern.

• Minimally Invasive Treatments – Botox injections for overactive or high-pressure bladders, endoscopic procedures for associated urinary problems, and guided therapy for improving bladder safety.

• Surgical Options – Bladder augmentation, reconstructive procedures, Mitrofanoff (CIC channel) creation, and correction of associated urinary tract abnormalities in severe cases to protect kidneys and improve quality of life.

• Long-Term Monitoring – Regular ultrasound, bladder pressure evaluation, kidney function tests, and follow-ups to ensure safe bladder pressures and prevent renal damage throughout growth.

With specialized expertise in paediatric bladder dysfunction, Dr. Premkumar K ensures early diagnosis, kidney protection, and personalized treatment plans that help children achieve safe and independent bladder control.

If your child has difficulty controlling urine, recurrent infections, or any neurological condition affecting bladder function, timely evaluation is crucial. Consult Dr. Premkumar K for advanced Paediatric Urology assessment and long-term bladder management.