Therapeutic approaches on neurogenic bladder:A comprehensive literature review

Background:Neurogenic bladder is a term applied to a malfunctioning urinary bladder due to neurologic dysfunction or insult emanating from internal or external trauma, disease or injury. Successful bladder management is multi-dimensional, and as such, treatments may be multi faceted. Objective:This literature review is to find out an evidence based physiotherapy management following neurogenic bladder. Methods:This study reviewed 9 studies on effect of therapeutic techniques on neurogenic bladder, and all studies reviewed different types of therapeutic regimen.Result:There were 9 studies reviewed out of which 2 experimental and 6 review articles were taken for the review which showed that techniques like non invasive transcutaneous electrical stimulation, electro acupuncture, neuromodulation of (sacral nerve, tibial nerve and pudendal nerve), electricalstimulation of tibial nerve, therapeutic exercises and therapeutic exercises along with biofeedback are effective for the treatment of neurogenic bladder. Conclusion:The current review of the literature though seems to be controversial in certain areas concluded that the therapeutic interventions in the recent studies are effective for the improvement of urinary symptoms in patients with neurogenic bladder.