Evaluation of the female with neurogenic voiding dysfunction.

Area of Science:

• Urology
• Neurology

Background:

• Neurological diseases frequently affect urinary tract function, leading to symptoms like incontinence and urinary retention.
• Complications such as hydronephrosis and renal insufficiency can arise from untreated urinary dysfunction.

Purpose of the Study:

• To emphasize the importance of understanding neurophysiology in managing neurogenic voiding dysfunction.
• To outline the necessity of accurate classification for effective treatment.

Main Methods:

• Review of the neurophysiology of micturition.
• Clinical assessment including history, physical examination, and urodynamic testing.

Main Results:

• Neurological conditions commonly cause lower and upper urinary tract issues.
• Effective management requires a thorough understanding of neurogenic voiding dysfunction.

Conclusions:

• Aggressive treatment of neurogenic voiding dysfunction is imperative to prevent severe urinary tract sequelae.
• Proper patient classification through clinical evaluation and urodynamics is key to successful treatment strategies.