Neurogenic Lower Urinary Tract Dysfunction

John S Wiener; Rajeev Chaudhry

doi:10.1016/j.ucl.2023.04.002

Neurogenic Lower Urinary Tract Dysfunction

Urol Clin North Am. 2023 Aug;50(3):415-432. doi: 10.1016/j.ucl.2023.04.002. Epub 2023 May 19.

Authors

John S Wiener¹, Rajeev Chaudhry²

Affiliations

¹ Department of Urology, Duke University Medical Center, Box 3831, Durham, NC 27710, USA. Electronic address: john.wiener@duke.edu.
² University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.

PMID: 37385704
DOI: 10.1016/j.ucl.2023.04.002

Abstract

Neurogenic lower urinary tract dysfunction (NLUTD) remains a formidable challenge to pediatric urologists to achieve the goals of renal preservation and the reduction of urinary tract infections as well as the attainment of continence and independence as children grow toward adulthood. Tremendous progress has occurred over the past 50 years which have witnessed an evolution in focus from mere survival to optimal quality of life. This review presents four separate guidelines for the medical and surgical care of pediatric NLUTD, most commonly related to spina bifida, to highlight the change in approach from expectant to more proactive management.

Keywords: Diagnostic techniques; Diseases; Neurogenic bladder; Neuropathic bladder; Spina bifida; Urinary incontinence; Urinary tract; Urological.

Publication types

Review

MeSH terms

Adult
Child
Humans
Kidney
Quality of Life*
Urinary Bladder, Neurogenic* / complications
Urinary Bladder, Neurogenic* / therapy
Urologists