Introduction: Many patients with neurogenic lower urinary tract dysfunction (NLUTD) fail conservative management with oral agents and bladder botulinum toxin and require surgical intervention to treat their neurogenic detrusor overactivity related incontinence or poor bladder compliance. Patients need reliable, easy to understand information to help guide their decision. Methods: This video was created as part of the neurogenic bladder series encompassing multiple related topics for this patient population. All information is intended to be used by patients and their advocates as well as health care providers. Multiple clinician’s consensus were utilized to generate the information deemed essential for patients to understand these choices. Results: This short video outlines bladder issues that would lead to a patient and their provider choosing surgery to treat intractable bladder symptoms. Conservative management with steady fluid intake, urinary tract infection prevention and regular catheterization are first discussed followed by oral agents and bladder injections to treat incontinence and or poor bladder compliance. The pathophysiology of neurogenic detrusor overactive and its consequences are also explained. Augmentation cystoplasty is reviewed in detail as well as continent catheterizable channels and urinary diversion. Important postoperative expectations and complications are discussed as well as long term follow up plans. Conclusions: This video provides patient appropriate information on NLUTD related bladder dysfunction and counselling on possible surgical options for treating this disorder when it is refractory to conservative, medical and injection treatments. SOURCE OF Funding: Craig Nielsen Foundation
