Table 3.

Acquired conditions that may effect bladder management with aging by relevant condition

Spina bifida	Cerebral Palsy	Bladder Exstrophy	Prune Belly Syndrome	PUV
Loss of upper extremity dexterity	Progression to atonic bladder	Pelvic organ prolapse	Abdominal hernia	Renal graft deterioration
Obesity	Extremity contractures	Urethral stricture		Bladder deterioration
Spinal disease
Loss of ambulatory status
Abdominal hernia

Examples of specific acquired conditions that may affect bladder management beyond childhood by primary diagnosis. Such conditions may impair the patient’s ability to perform bladder management or self care, and therefore place the patient at risk. For example, a spina bifida patient who self catheterizes through young adulthood may encounter increasing obesity, which would impair her ability to cleanly and safely catheterize her bladder per urethra in her chair, therefore subjecting her to risk of recurrent infections, retention, urinary incontinence and ultimately renal demise.