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Neurogenic voiding dysfunction
Petros Georgopoulos1, Apostolos Apostolidis
1Second Department of Urology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Current Opinion in Urology
|February 18, 2017
Summary
This review updates knowledge on neurogenic lower urinary tract dysfunction (NLUTD), highlighting a new classification system and treatment data. Further research is needed, particularly on voiding issues.
Area of Science:
- Urology
- Neurology
Background:
- Neurogenic lower urinary tract dysfunction (NLUTD) affects numerous patients with neurological conditions.
- Understanding NLUTD is crucial for managing complex patient care and improving quality of life.
Purpose of the Study:
- To provide an updated overview of recent research on neurogenic voiding dysfunction.
- To identify knowledge gaps and stimulate further clinical and basic research in NLUTD.
Main Methods:
- Comprehensive literature review of recently published articles on NLUTD.
- Analysis of studies focusing on pathophysiology, diagnosis, and treatment modalities.
Main Results:
- Introduction of a novel classification system for NLUTD pathophysiology.
- Review of data on bowel dysfunction, autonomic dysreflexia, urine biomarkers, and patient-reported outcomes.
- Examination of diagnostic criteria for urinary infections and updated treatment strategies.
Conclusions:
- While evidence on storage issues is extensive, high-quality research on voiding dysfunction in NLUTD remains limited.
- The review aims to inform clinical practice and encourage future research directions in NLUTD.
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