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Neurological lower urinary tract dysfunction essential terminology.

Jerzy B Gajewski1, Marcus J Drake2,3

  • 1Dalhousie University, Halifax, Nova Scotia, Canada.

Neurourology and Urodynamics
|January 8, 2019
PubMed
Summary
This summary is machine-generated.

This review summarizes International Continence Society (ICS) terminology for adult Neurogenic Lower Urinary Tract Dysfunction (NLUTD). It details symptoms, signs, and urodynamic findings crucial for diagnosing neurological impairment affecting bladder function.

Keywords:
LUTSincontinenceneurological diseasestandardization

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Area of Science:

  • Urology
  • Neurology
  • Medical Terminology

Background:

  • Neurogenic Lower Urinary Tract Dysfunction (NLUTD) arises from neurological impairments affecting cognitive, motor, sensory, or autonomic functions.
  • NLUTD can stem from various lesions, including suprapontine, spinal, or peripheral nerve damage, and individuals may also face common conditions like benign prostate enlargement.

Purpose of the Study:

  • To present fundamental concepts and definitions within the International Continence Society (ICS) Standardisation of Terminology for adult Neurogenic Lower Urinary Tract Dysfunction (NLUTD).

Main Methods:

  • A summary of essential terminology from the ICS Standardisation of Terminology of Adult NLUTD was compiled.
  • Key symptoms, clinical signs, and urodynamic observations were identified and synthesized.

Main Results:

  • NLUTD symptoms include altered bladder/urethral sensation and incontinence, influenced by factors like impaired cognition, mobility, and voiding dysregulation.
  • Clinical signs are assessed via physical examination and bladder diaries, while urodynamics reveal neurogenic detrusor overactivity, reduced bladder compliance, detrusor underactivity, or bladder outlet obstruction.
  • These findings aid in diagnosing the presence and location of neurological impairment.

Conclusions:

  • This review offers a concise overview of symptoms, signs, and urodynamic observations as defined by the ICS Standard on Adult NLUTD.
  • Understanding this standardized terminology is vital for accurate diagnosis and management of NLUTD.