[Urinary disturbances in parkinsonism].

Area of Science:

• Neurology
• Urology

Background:

• Lower urinary tract symptoms (LUTS) are prevalent in neurodegenerative diseases.
• These symptoms significantly impact patients' quality of life.
• Understanding LUTS in Parkinsonian syndromes is crucial for effective management.

Purpose of the Study:

• To differentiate urinary symptom presentation in Parkinson's disease versus atypical parkinsonism.
• To outline diagnostic and treatment strategies for LUTS in these patient groups.

Main Methods:

• Review of diagnostic approaches in primary healthcare settings.
• Discussion of behavioral modifications and oral pharmacotherapies.
• Exploration of advanced treatments like botulinum toxin injections, sacral neuromodulation, and bladder augmentation.

Main Results:

• Urinary symptoms manifest differently in Parkinson's disease and atypical parkinsonism.
• A multi-faceted treatment approach, from behavioral changes to invasive procedures, is necessary.
• Early diagnosis and intervention are vital for managing LUTS.

Conclusions:

• Effective management of LUTS in Parkinsonian syndromes requires a comprehensive diagnostic and therapeutic strategy.
• Tailored treatment plans can significantly improve quality of life for affected individuals.
• Further research into the specific mechanisms and optimal treatments for LUTS in neurodegenerative diseases is warranted.