Conservative Treatment of Patients with Neurogenic Bladder

Objectives: To review the up-to-date literature of the mostly used conservative treatment modalities in patients with neurogenic bladder. Methods: material from literature on conservative management in patients with neurogenic bladder was reviewed. Pubmed search results and recent books were consulted. Results: The conservative treatment is in almost all cases the first and will remain the primary choice in the majority of patients with neurogenic bladder. Treatment will depend on the type of underlying disease, on the bladder dysfunction, its natural evolution but also on the patients’ general condition, and the available resources. Behavioural training, catheters, external appliances, drugs and electrical stimulation are presented, their indications and limitations. Conclusions: Conservative treatment is the mainstay in neurogenic bladder management. It offers different methods which permit to successfully treat most symptoms and conditions in this prevalent LUT pathology. # 2008 European Association of Urology and European Board of Urology. Published by Elsevier B.V. All rights reserved.