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Lower Urinary Tract and Bowel Dysfunction in Neurologic Disease.
Continuum (Minneapolis, Minn.)
|January 31, 2020
Summary
Neurologic diseases frequently cause lower urinary tract and bowel dysfunction. Management involves targeted treatments for incontinence, constipation, and fecal incontinence, often requiring collaboration between neurologists and specialist teams.
Area of Science:
- Neurology
- Urology
- Gastroenterology
Background:
- Lower urinary tract and bowel functions are frequently impacted by neurologic diseases.
- Neurologists are crucial in assessing and managing these symptoms.
Observation:
- Neurologic lesions dictate lower urinary tract dysfunction patterns.
- Bowel dysfunction manifests as constipation and fecal incontinence, with potential for emergencies like pseudoobstruction.
- Diagnostic tests may reveal slow transit and anorectal dysfunction.
Findings:
- Antimuscarinic agents and beta-3 receptor agonists are key for urinary incontinence.
- Botulinum toxin offers advanced treatment for neurogenic detrusor overactivity.
- Constipation management includes bulking agents, prokinetics, suppositories, and transanal irrigation.
Implications:
- Effective management of lower urinary tract and bowel dysfunction improves patient quality of life.
- Multidisciplinary collaboration is essential for comprehensive patient care.
- Understanding lesion-specific impacts guides tailored therapeutic strategies.
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