The neurogenic bladder is a complex entity whose clinical presentation ranges between a micturition and continence dysfunction. A specialized work-up which entails a well oriented patient history, a neuro-urologic pelvic examination so as a video-urodynamic study allows to caracterize functionally neurogenic bladders. This enables to diagnose a failure to store and/or to empty. Whether medical or surgical, management is further coordinated on a multidisciplinary basis by the urologist who is in charge of bringing together medical and paramedical caregivers. The patient may also benefit of a multidisciplinary consult. Regular long-term follow-up is essential, in order to ensure optimal equilibrium between storage and emptying bladder function, and to prevent significant renal and infectious complications.