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Journal of Neurology

Erschienen in:

11.07.2016 | Neurological Update

Neurogenic lower urinary tract dysfunction: evaluation and management

verfasst von: Katarina Ivana Tudor, Ryuji Sakakibara, Jalesh N. Panicker

Erschienen in: Journal of Neurology | Ausgabe 12/2016

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Abstract

The lower urinary tract (LUT) in health is regulated by coordinated multi-level neurological inputs which require an intact central and peripheral nervous system. Lower urinary tract dysfunction is, therefore, a common sequelae of neurological disease and the patterns of bladder storage and voiding dysfunction depend upon the level of neurological lesion. Evaluation includes history taking, bladder diary, urological examination when relevant, ultrasonography and urodynamic testing when indicated. Antimuscarinic agents are the first line treatment for patients with storage dysfunction. Alternative treatments include intradetrusor injection of onabotulinumtoxinA, which has been shown to be of benefit in patients with neurogenic detrusor overactivity (NDO), and neuromodulation. Intermittent catheterization remains the option of choice in patients with significant voiding dysfunction resulting in high post-void residual volumes.

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Titel: Neurogenic lower urinary tract dysfunction: evaluation and management
verfasst von: Katarina Ivana Tudor
Ryuji Sakakibara
Jalesh N. Panicker
Publikationsdatum: 11.07.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Neurology / Ausgabe 12/2016
Print ISSN: 0340-5354
Elektronische ISSN: 1432-1459
DOI: https://doi.org/10.1007/s00415-016-8212-2

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