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Erschienen in:
29.05.2021 | Neurogenic Bladder (C Powell, Section Editor)
Urinary Tract Infection in the Neurogenic Bladder: an Update of Surgical and Non-surgical Management
Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 2/2021
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Purpose of Review
This review explores the current literature surrounding non-surgical and surgical management strategies for urinary tract infections (UTIs) in adult patients with neurogenic lower urinary tract dysfunction. UTIs in patients with neurogenic bladders (NB) are recurrent and lifelong contributors to morbidity and mortality. Diagnosis and treatment of UTIs in this patient population are significantly more challenging and require thoughtful clinical decision-making. Topics such as risk factors, diagnosis, nonoperative treatment strategies, and surgical management will be discussed.
Recent Findings
Current recommendations indicate that only symptomatic UTIs require treatment. Nonoperative treatments such as antibiotic therapies, bladder instillations, and coated catheters are typically exercised before proceeding with more invasive surgical management. There are no clear guidelines to recommend when patients should or are required to have surgical intervention.
Summary
Non-surgical management strategies continue to evolve through recent clinical trials. Major surgical intervention is typically considered only after non-surgical options have been exhausted or based on patient and caregiver preference.