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Female neurogenic vesicourethral dysfunction: evaluation and management.
Rebecca J McCrery1, Rodney A Appell
1Scott Department of Urology, Baylor College of Medicine, 6550 Fannin Avenue, Suite 801, Houston, TX 77030, USA. rmccrery@bcm.tmc.edu
Current Urology Reports
|August 27, 2005
Summary
This study details the evaluation and management of neurogenic vesicourethral dysfunction (NVUD), addressing conditions like multiple sclerosis and diabetes. It emphasizes accurate diagnosis and individualized treatment plans to preserve kidney function and alleviate symptoms.
Area of Science:
- Urology
- Neurology
Background:
- Neurogenic vesicourethral dysfunction (NVUD) affects lower urinary tract function due to neurological conditions.
- Common causes include multiple sclerosis, diabetes, lumbar disc prolapse, and Parkinson's disease.
Purpose of the Study:
- To outline the comprehensive evaluation and management strategies for NVUD.
- To review the relevant anatomy and neurophysiology of lower urinary tract function.
- To provide guidance on individualized treatment plans for NVUD patients.
Main Methods:
- Review of anatomical and neurophysiological aspects of lower urinary tract function.
- Discussion of diagnostic evaluation methods for suspected NVUD.
- Exploration of management options for NVUD.
Main Results:
- Accurate diagnosis of NVUD is predicated on thorough patient evaluation.
- Management strategies aim to protect renal function and improve patient symptoms.
- Specific neurological conditions contributing to NVUD are highlighted.
Conclusions:
- Effective management of NVUD requires a systematic approach to evaluation and diagnosis.
- Individualized treatment plans are crucial for preserving renal health and managing symptoms.
- Understanding the neurophysiological basis of NVUD is key to successful outcomes.