The management of the neuropathic bladder in childhood.

The key factors in the management of the neuropathic bladder are an understanding of the pathophysiology and natural history of the bladder and urethral dysfunction, an understanding of the urodynamic investigation of such problems, and a realistic approach to treatment. Those children with good motivation, intelligence, mobility and manipulative skills can almost always be made continent by surgical means. Management otherwise is to control or contain incontinence as far as possible and to preserve upper tract function.