INTRODUCTION: Neurogenic bladder is a very common sequel in cases of spina bifida with variable prevalence ranging between 46% and 80%. Conventionally, these patients are analyzed using urodynamic studies (UDSs), with some chances to be misinterpreted, as a large percentage of these subjects are associated with vesicoureteric reflux (VUR), for which video-UDS (VUDS) is considered to be investigation of choice. MATERIALS AND METHODS: The study included 24 postoperative patients (at least 3 months postoperative) of lumbosacral myelomeningocele with urinary complaints over a 1-year period. The VUDS parameters and presence of VUR were noted along with sonographic evaluation of the urinary tract as well as renal function tests. VUDS was done using the HERMES model, and micturating cystourethrography films were taken using the C-arm fluoroscopy machine. Postvoid residual urine (PVRU) was calculated using a portable ultrasonography (USG) scanner. Based on the VUDS parameters, we tried to categorize the type of neurogenic bladder and also establish a correlation between the VUDS profile and upper tract changes if any. RESULTS: There were 20 males and 4 females, age range of 9 months to 11 years. On USG kidney ureter bladder, there were mild bilateral hydronephrosis ( CONCLUSION: VUDS is decisive for the therapeutic strategy as it allows the definition of the dysfunctional pattern of the lower urinary tract and detection of risk factors to enable the prevention of major upper urinary tract changes by appropriate treatment. VUDS should be a part of standard evaluation protocol in all patients of neurogenic bladder.