Clinical Blog

In the human body, the bladder’s ability to store and release urine relies on the synchronization of activity within the lower urinary tract. This intricate process is closely regulated by complex neural networks involving the brain and spinal cord. However, when a person experiences neural trauma or disease, such as a spinal cord injury (SCI) or multiple sclerosis, this communication pathway is disrupted, leading to the development of neurogenic lower urinary tract dysfunction (NLUTD), commonly known as neurogenic bladder.

Catheter blockage is a common problem among people with SCI who use indwelling urethral or suprapubic catheters. This can lead to frequent catheter changes, urine bypassing, and may increase the chance of getting urinary infections. This is frustrating problem for both patients and physicians.

I am presenting a 22-year-old woman with history of myelomeningocele and tethered cord. She manages her bladder with clean intermittent catheterization (CIC) per urethra 6 times per day.

We are presenting a 23 year-old female with sacral agenesis and neurogenic bladder and urinary incontinence who has been incontinent all her life.

Jeremy Myers presents on bladder augmentation at the GU Congenitalism forum @GUCongenitalism at the American Urologic Association meeting in San Diego, California.

MK is a 42 year-old woman with lumbar spina bifida with a h/o ileal conduit as child then takedown of conduit with creation of a sigmoid colon bladder augmentation, right-to-left transureteroureterostomy with tunneled reimplant of left ureter into a left colon chimney at 18 years of age.