Pediatric Neurogenic Bladder

  • Etiology: Spinal dysraphism
  • Imaging:
    — Thickened bladder wall with trabeculations
    — Often have large amount of debris in bladder
  • DDX:
  • Complications: Bladder stones
  • Treatment:
  • Clinical: Common cause of spontaneous bladder rupture

Radiology Cases of Neurogenic Bladder

US and VCUG of vesicoureteral reflux and neurogenic bladder
Sagittal US of the right kidney (above) shows moderate hydronephrosis. AP image from a voiding cystourethrogram (below) shows right-sided vesicoureteral reflux into a dilated collecting system and a trabeculated bladder. The urethra was normal in appearance.
AXR and US of bladder stone
AXR AP (above) shows two irregularly-shaped calcified objects projecting over the pelvis. Spinal dysraphism is noted in the sacrum. There is a cecostomy tube in the right lower quadrant. Sagittal US of the bladder (below) shows an echogenic mass within the inferior aspect of the bladder (to the right of the image) that has posterior shadowing.
US of bladder stone in neurogenic bladder
Transverse (above) and sagittal (below) US of the bladder shows a round echogenic mass in the base of the bladder that has posterior shadowing. The bladder wall is mildly thickened.