Korean J Urol.  2012 Sep;53(9):583-592. 10.4111/kju.2012.53.9.583.

Management of Lower Urinary Tract Dysfunction in Patients with Neurological Disorders

Affiliations
  • 1Department of Urology, Seoul National University Hospital, Neuroscience Research Institute, Medical Research Center, Seoul National University College of Medicine, Seoul, Korea. sjo@snu.ac.kr
  • 2Department of Urology and Andrology, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Abstract

The proper performance of the lower urinary tract is dependent on an intact neural innervation of the individual structures involved. Therefore, any congenital neurological anomalies, diseases, or lesions of the central, peripheral, or autonomic nervous systems can result in lower urinary tract symptoms. Lower urinary tract dysfunction (LUTD) secondary to neurological disorders can significantly reduce quality of life (QoL) and may also give rise to serious complications and psychological and social sequelae. The goals of management of LUTD in patients with neurological disorders are to prevent serious complications and to improve the patient's QoL. Understanding the physiology and pathophysiology of micturition is critical to selecting appropriate treatment options. This article provides an overview of the clinical characteristics, diagnosis, and management of LUTD in patients with certain central and peripheral neuropathies and common lesions.

Keyword

Clean intermittent catheterization; Lower urinary tract symptoms; Nervous system diseases; Neurogenic urinary bladder; Urodynamics

MeSH Terms

Autonomic Nervous System
Humans
Intermittent Urethral Catheterization
Lower Urinary Tract Symptoms
Nervous System Diseases
Peripheral Nervous System Diseases
Quality of Life
Urinary Bladder, Neurogenic
Urinary Tract
Urination
Urodynamics
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