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Neurogenic bladder - concepts and treatment recommendations
José Carlos Truzzi1, Fernando Gonçalves de Almeida2, Carlos Alberto Sacomani3
1Departamento de Assuntos Médicos, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brasil.
Summary
This review outlines treatment guidelines for neurogenic bladder, a condition affecting bladder and urinary sphincter function due to nervous system changes. It synthesizes evidence to support best practices in patient care.
Area of Science:
- Urology
- Neurology
- Public Health
Background:
- Neurogenic bladder involves malfunctioning bladder and urinary sphincter due to nervous system changes.
- Urinary tract symptoms significantly impact patients' quality of life.
- This review informs treatment guidelines for Brazil's public health system.
Purpose of the Study:
- To develop treatment guidelines for neurogenic bladder.
- To provide a basis for best practices in managing neurogenic bladder.
- To address the impact of neurogenic bladder on patient quality of life.
Main Methods:
- PICO framework used for survey question structuring.
- Systematic literature search conducted in MEDLINE/PubMed, Embase, Epistemonikos, and Google Scholar.
- Evidence quality and recommendation grades assessed using GRADE methodology.
Main Results:
- 2,707 articles were initially identified; 49 were selected for the review.
- Neurogenic bladder treatments categorized by symptom focus (filling/emptying) and type (pharmacological/surgical).
Conclusions:
- Treatment guidelines are crucial for public health systems.
- Implementing these guidelines promotes optimal care for neurogenic bladder patients.
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