Katherine Amin, MD, presented “Updates on the Management of Neurogenic Bladder” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 7, 2025, in Jackson Hole, Wyoming.
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How to cite: Amin, Katherine. “Updates on the Management of Neurogenic Bladder.” February 7, 2025. Accessed Mar 2025. https://grandroundsinurology.com/updates-on-the-management-of-neurogenic-bladder/
Updates on the Management of Neurogenic Bladder – Summary
Katherine Amin, MD, provides a comprehensive update on managing neurogenic bladder. In this 26-minute presentation, Dr. Amin focuses on guidelines, risk stratification, and treatment strategies.
Dr. Amin notes that patients with suprapontine lesions, spinal cord injuries, and sacral dysfunction exhibit varying degrees of storage and voiding symptoms, necessitating individualized management approaches. Her initial evaluation involves history-taking, physical examination, urinalysis, and post-void residual measurements. Risk stratification helps determine the need for imaging and further workup, particularly for patients at moderate or high risk of upper tract deterioration.
Treatment aims to protect renal function, maintain continence, and improve quality of life. Dr. Amin covers non-surgical interventions, including pelvic floor therapy, antimuscarinics, beta-3 agonists, intermittent catheterization, lifestyle modifications, and surgical options, including sphincterotomies, augmentation cystoplasty, sacral neuromodulation, and continent catheterizable channels.
Surveillance strategies are tailored based on risk. Her discussion raises the legal implications of adhering to or deviating from guidelines, emphasizing the need for clinical judgment in decision-making.
About The 44th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
