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Ana Valeria Aguirre-Guemez¹, Suzanne L Groah²

¹MedStar National Rehabilitation Hospital, Washington, DC, USA; Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC, USA; MedStar Health Research Institute, Hyattsville, MD, USA.

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Summary

Recurrent urinary tract infections (UTIs) are common in neurogenic lower urinary tract dysfunction. Current diagnostic methods are inconsistent, necessitating a new approach to understanding and treating these complex UTIs.

Keywords:

Indwelling/intermittent catheterization Neurogenic lower urinary tract dysfunction Recurrent urinary tract infection Spinal cord injuries

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Area of Science:

Urology
Infectious Diseases
Neuroscience

Background:

Neurogenic lower urinary tract dysfunction (NLUTD) frequently leads to complicated urinary tract infections (UTIs).
Recurrent UTIs are a significant challenge for patients with NLUTD.
Current diagnostic criteria and management strategies for UTIs in NLUTD are inconsistent and subjective.

Purpose of the Study:

To highlight the challenges in diagnosing and treating recurrent UTIs in patients with NLUTD.
To emphasize the need for a revised understanding of UTIs in this population.
To advocate for a paradigm shift in the diagnostic and therapeutic approaches to UTIs in NLUTD.

Main Methods:

Literature review of existing studies on UTIs in NLUTD.
Analysis of current diagnostic inconsistencies.
Conceptualization of a new framework for UTI management in NLUTD.

Main Results:

The majority of individuals with NLUTD experience recurrent UTIs.
Subjectivity and lack of standardized criteria complicate UTI diagnosis in NLUTD.
Existing treatment protocols may not adequately address the complexities of UTIs in this patient group.

Conclusions:

A reconceptualization of UTIs in the context of NLUTD is urgently required.
A paradigm shift towards objective diagnostic markers and tailored treatment strategies is necessary.
Improved understanding and management are crucial for better patient outcomes in NLUTD-associated recurrent UTIs.