BPH and Pelvic Organ Prolapse in Patients with Neurogenic Bladder

Abstract

The successful management of many diseases that result in neurogenic bladder has allowed patients who were previously only cared for by Pediatric Urologists to live well into adulthood. In the past, patients with myelomeningocele and neurogenic bladder rarely used to live into their third decade. It is now not uncommon for these patients to live significantly longer lives [1]. With this increased longevity comes the myriad of adult Urologic conditions that these patients are now beginning to face, including benign prostatic hyperplasia (BPH) and pelvic organ prolapse (POP). While BPH and POP are common urologic conditions in the general adult population, they present a unique challenge for patients with neurogenic bladder, and relatively little is known about the effects of these disorders in this patient population. This chapter aims to focus on the presentation and management of patients with neurogenic bladder who develop BPH or POP in their adult lives.