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Neurogenic bladder

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Poor urinary stream. History of spinal trauma.

Patient Data

Age: 15 years
Gender: Male
Fluoroscopy

Vertical urinary bladder with wall hypertrophy causes an irregular outline and some outpouching inferring diverticula. There is also bilateral vesicoureteral reflux.

Case Discussion

Findings on VCUG in a 15 years old patient with a history of spinal trauma are most consistent with a neurogenic bladder, a term applied to a dysfunctional urinary bladder that results from an injury to the central or peripheral nerves that control and regulate urination. 

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