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Autonomic dysfunction in patients with lower urinary tract disorders.

Claire Hentzen1, Xavier Biardeau2

  • 1Sorbonne University, GRC 01, GREEN Group of clinical REsEarch in Neurourology, AP-HP, Hôpital Pitié Salpêtrière, F-75013, Paris, France.

Autonomic Neuroscience : Basic & Clinical
|April 17, 2026
PubMed
Summary
This summary is machine-generated.

Autonomic nervous system (ANS) dysfunction is linked to lower urinary tract (LUT) disorders like overactive bladder. Autonomic testing may predict treatment success and reveal therapy impacts on ANS function.

Keywords:
Autonomic function testsDynamic pupillometryHeart rate variabilityLower urinary tract symptomsSympathetic skin responseUrinary bladder overactive

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Area of Science:

  • Neuroscience
  • Urology

Background:

  • The autonomic nervous system (ANS) regulates micturition, controlling bladder storage and voiding.
  • Lesions in neural pathways can cause lower urinary tract (LUT) dysfunction, often with bowel and sexual issues.
  • Autonomic dysregulation may underlie isolated LUT symptoms.

Purpose of the Study:

  • To review the association between LUT disorders and ANS dysfunction.
  • To explore the role of autonomic testing in evaluating these conditions.
  • To focus on ANS dysregulation in overactive bladder and its treatment implications.

Main Methods:

  • Review of current scientific literature.
  • Analysis of autonomic tests including cardiovascular testing, heart rate variability, pupillometry, and sudomotor tests.
  • Examination of the relationship between ANS and overactive bladder.

Main Results:

  • Evidence links LUT disorders, particularly overactive bladder, with ANS dysregulation.
  • Autonomic testing provides insights into the functional status of the ANS in LUT disorders.
  • ANS assessment may predict treatment outcomes for LUT conditions.

Conclusions:

  • ANS dysfunction is significantly associated with LUT disorders.
  • Autonomic testing is a valuable tool for assessing LUT conditions and predicting treatment response.
  • Understanding the impact of therapies on ANS function is crucial for managing LUT disorders.