Neurogenic bladder in patients with spinal cord injury can lead to a rapid deterioration of renal function by compromise of the upper urinary tracts. Algorithm of neurogenic bladder management in spinal cord injury has been discussed according to the types of neurogenic bladder and the hand function of patients. Although intermittent catheterization with a low intravesical pressure has been generally known as the best method of neurogenic bladder management in the patients with spinal cord injury, the most popular method of neurogenic bladder management for the patients with spinal cord injury in Korea has been reported as reflex voiding up to the present. It is necessary to identify the reasons for patients not to continue intermittent catheterization after discharge from inpatient rehabilitation care.