Congenital urological diseases are conditions affecting the urinary tract or reproductive organs that are present at birth. These conditions may involve structural abnormalities, functional disorders, or developmental issues within the urinary system or reproductive organs. Some congenital urological diseases affect the function of the urinary tract or reproductive organs without necessarily causing structural abnormalities. Functional disorders may include conditions like neurogenic bladder, where there is a disruption in nerve signals between the bladder and the brain, leading to problems with bladder control or emptying. Certain congenital urological diseases arise due to developmental issues during fetal growth and can affect the formation or function of the urinary or reproductive systems. Diagnosis of congenital urological diseases often involves a combination of medical history, physical examination, imaging tests and specialized urological tests.