Neurogenic Bladder: Current Pharmacologic Trends

Abstract

Several studies have investigated the many pharmacologic therapies to treat neurogenic bladder. Our aim with this review is to provide an update on the current clinical and basic science literature pertaining to pharmacotherapy for this condition. Advances have been made in pediatric and adult pharmacotherapy. The most notable include the safety and effective use of tolterodine and transdermal oxybutynin in the treatment of pediatric neurogenic bladder. Also, recently, the safe and effective triple drug therapy consisting of an antimuscarinic, an α-blocker, and imipramine in combination has been shown to significantly improve bladder compliance and detrusor pressures.