There are several etiologies for a neurogenic bladder, including congenital and acquired. The neurogenic bladder can lead to urinary tract infections, urinary incontinence and other secondary issues. Treatment options, such as clean intermittent catheterization, have been important in the care of these patients. Two treatment options for neurogenic bladder have gained popularity and have increased exposure in the literature over the past decade - botulinum toxin and antibiotic prophylaxis. Current treatment options for detrusor overactivity, urinary urgency and urge incontinence include pelvic floor therapy, anticholinergics and neuromodulation via InterStim~R (sacral nerve stimulation) or tibial nerve stimulation. Augmentation cystoplasty is not as common due to the other less-invasive treatment options. Botulinum-A toxin offers another minimally invasive treatment option [1,2].
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