Spina bifida is the most common cause of a neurogenic bladder in children. Early management is critical in order to reduce the chances they will need surgical intervention.
Symptoms of neurogenic bladder may include:
|Urine leakage||Vesicoureteral reflux (VUR)|
|Urine retention||Urinary tract infection|
|PRE-NATAL REPAIR||POST-NATAL REPAIR|
||Perform on admission
|Clean Intermittent Cath (CIC)||Convert to CIC:
A 2x predicted bladder capacity that is seen on several bladder scans is a fairly good predictor that the infant has spinal shock and an areflexic bladder.
Approximately 7 mL/kg (e.g. 4 kg infant, approximately 30 mL)
If Bladder scan
|≥ 2 x calculated bladder capacity||Perform CIC|
|< 2 x calculated bladder capacity||Continue with bladder scans as ordered|