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Neuro-Urology Treatments for Neurogenic Bladder

The nerves and muscles of the urinary system have to efficiently work together for the bladder to hold urine and release it at an appropriate time. Nerves transmit messages back and forth from the brain and spinal cord to the bladder. When disease or injuries damage these nerves, the bladder — which is mostly made of muscle — may lose the ability to relax or tighten at the right time.

When conditions of the nervous system affect the bladder, it is called neurogenic bladder.

Neurogenic bladder can result in two different types of bladder control problems: difficulty voiding (underactive bladder) or incontinence (overactive bladder). Other common symptoms include kidney stones and urinary tract infections (UTIs).

Our urologists have extensive expertise in caring for individuals who have a neurogenic bladder as a result of congenital malformations (present at birth) or medical conditions, including:

  • Spinal cord injuries
  • Parkinson's disease
  • Alzheimer's disease
  • Multiple sclerosis
  • Movement disorders
  • Birth defects of the spinal cord
  • Stroke
  • Diabetes
  • Spinal cord or brain tumors
  • Cerebral palsy
  • Spina bifida

Transitional Care For Young Adults with Urologic Conditions

Led by Yahir Santiago-Lastra, MD, our transitional urology program offers urological services for adolescents with congenital urologic malformation who need help transitioning from pediatric to adult care.

Contact the Transitional Urology Care Team


Patients & Referring Physicians
For more information or to make an appointment, please call 619-543-6544.

Our multidisciplinary team includes specialists in voiding dysfunction, sexual medicine, infertility, men's health, urogenital reconstruction, urinary stone disease, and general and pediatric urology who are dedicated to treating and preventing disease, as well as improving quality of life and fostering independence. We collaborate with experts in physical medicine and rehabilitation, neurosurgery, internal medicine, and psychology and social work, to ensure that the transition to adult medical care is easy and comfortable.

We provide leading-edge urologic care to teen and young adult patients with conditions such as:

  • Spina bifida
  • Cerebral palsy
  • Exstrophy
  • Neurogenic bladder (secondary to other disease processes)

Pediatric Urology

We also offer pediatric urology services through Rady Children’s Hospital-San Diego, which is ranked among the top 10 pediatric urology programs in the country by U.S. News & World Report. We provide comprehensive care to children with genitourinary disorders and injuries from birth to young adulthood. These varied conditions are managed with advanced medical and surgical regimens.

Our team — of five board-certified pediatric urologists and two nurse practitioners — sees over 800 children a month. Our pediatric urologists have joint appointments at Rady Children’s Hospital. We also have satellite clinics in Murrieta, Encinitas, Escondido and Oceanside.

​Appointments & Referrals


La Jolla


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