The current management of neurogenic urinary incontinence is exclusively ur
ological and therefore palliative. However, urological techniques have cons
iderably advanced over the last 20 years and now allow continence with prot
ection of the upper urinary tract in the very great majority of cases. The
authors review the various techniques proposed in achieve acceptable contin
ence and define the indications based on published results and their person
al experience.