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Lower urinary tract and sexual dysfunction in neurological patients
1Division of Neurology, University Medical Centre and Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
European Neurology
|July 5, 2014
Summary
Neurological conditions frequently cause lower urinary tract dysfunction (LUTD) and sexual dysfunction (SD), significantly impacting patient quality of life. Accurate diagnosis and neurologist-guided management are crucial for effective treatment and improved outcomes.
Area of Science:
- Neurology
- Urology
- Sexual Medicine
Background:
- Lower urinary tract dysfunction (LUTD) and sexual dysfunction (SD) are prevalent in neurological patients.
- These dysfunctions stem from neural control lesions, sensorimotor/cognitive deficits, and psychosocial factors.
Purpose of the Study:
- To review the etiology, diagnosis, and treatment of LUTD and SD in neurological patients.
- To emphasize the importance of accurate assessment and neurologist-led management for non-complicated cases.
Main Methods:
- Literature review summarizing current knowledge on neurogenic LUTD and SD.
- Discussion of diagnostic approaches including urodynamic testing, residual urine assessment, and uroflowmetry.
- Overview of treatment strategies for desire, arousal, orgasm, and erectile dysfunction.
Main Results:
- LUTD and SD significantly diminish quality of life and can lead to serious health issues.
- Specialized centers manage complex cases (spinal cord injury, dysraphism) per guidelines.
- Neurologist guidance is recommended for non-complicated neurogenic LUTD/SD.
Conclusions:
- Accurate diagnosis, defining bladder/sphincter function (normal, overactive, underactive), is essential for effective urinary symptom management.
- Urodynamic testing is the gold standard for functional diagnosis.
- Further research is needed to optimize diagnostic and management strategies for diverse neurogenic LUTD/SD patient groups.
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