Bladder management after a spinal cord injury is a critical consideration from the onset of the condition. Inadequate management resulted in a high incidence of morbidity and mortality in the past. As better awareness has been generated and more judicious use of the available management options has been used, a dramatic decline in associated pathologies has occurred. This review seeks to delineate the options for diagnosis and management of the neurogenic bladder. Clinical context is emphasized in the timing of interventions and testing. Suggestions for formulating a urological management plan for the individual patient are provided.
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