A neuropathic bladder (or neurogenic bladder) is a bladder dysfunction caused by a neurological disease or spinal cord injury. The bladder may either fail to store urine (causing leaks) or fail to empty completely (causing urine backup and high kidney pressures).
Neuropathic bladder results from spinal nerve malformations or injuries, including:
Common signs in children include:
A neuropathic bladder can cause abnormally high pressures within the urinary tract, leading to severe kidney damage over time. It can also cause persistent incontinence, which significantly impacts a child's quality of life and social development. Early and proactive management is crucial to protect kidney function, achieve urinary continence, and foster the child's independence.
Managing a neuropathic bladder is a lifelong journey. We provide a customized care plan that includes urodynamic testing, medication, and specialized catheterization training. Our team works closely with parents and children to develop a routine that fits their lifestyle, aiming for maximum independence and confidence as the child transitions into adolescence and adulthood.
Use of anticholinergic medications to relax the bladder muscle and lower internal pressures.
Training families and children to safely empty the bladder using a catheter to prevent kidney damage.
A major surgical procedure using a segment of the bowel to enlarge the bladder and reduce pressure.
A vital diagnostic step to measure bladder pressure, capacity, and sphincter function, which dictates the surgical plan.
Dr. Chowdhary performs major reconstructive procedures focused on achieving both kidney safety and social continence.
Post-surgery, our specialized nurses work with the family to master the care of the new urinary channel and ensure long-term success.
"He treated my son for a neuropathic bladder. Thanks to his systematic treatment plan, my boy can now attend school normally without any stigma. Thank you, Doctor."
"The Mitrofanoff surgery changed our daughter's life. She is now independent and dry for the first time in 10 years. Dr. Chowdhary is a true miracle worker."
"Dr. Chowdhary's knowledge of neurogenic bladder management is world-class. He saved our child's kidneys from severe reflux damage."
"The laparoscopic surgery for our baby's condition was so precise. Dr. Chowdhary's confidence gave us immense peace of mind during a very stressful time."
"We traveled from another state just for Dr. Chowdhary. His reputation is well-deserved; his approach is very scientific and methodical yet very caring."
"The nursing staff and Dr. Sujit are a fantastic team. They handled our infant's surgery with so much care and warmth. Highly recommended for any parent."
Neuropathic bladder management is a lifelong commitment. You need a surgeon who understands the long-term journey.
It is a bladder dysfunction caused by nerve damage, common in children with spina bifida, spinal cord injuries, or sacral agenesis.
Untreated neuropathic bladder can lead to high bladder pressures, kidney damage (hydronephrosis), and recurrent kidney infections.
CIC is a safe and painless procedure where a small tube is inserted into the bladder regularly to empty it completely, reducing pressure and infection risks.
Anticholinergic medications are often prescribed to relax the bladder muscle, decrease bladder pressure, and increase capacity.
Augmentation is required if medication and CIC fail to control high bladder pressure, using a piece of bowel to enlarge the bladder.
It is a surgical creation of a small channel between the bladder and abdominal wall (often using the appendix) for easy catheterization.
Yes, with a combination of CIC, medication, and timely surgery, most children can achieve complete social dryness and protect their kidneys.
Early management of neuropathic bladder protects the kidneys and achieves dryness. Schedule a consultation today.
D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057
+91 98732 06761
