Lower urinary tract symptoms of neurological origin in urological practice

Abstract

Consideration of detailed medical history, enforcement of UDS, and closer cooperation between urologists and neurologists are required to ascertain early and correct diagnosis, and to avoid unnecessary surgery.

Urodynamic Evaluation in Multiple System Atrophy: A Retrospective Cohort Study

“…A detailed assessment of LUT dysfunction is important to underpin diagnosis of MSA as well as to anticipate potential coexisting conditions and thus, to avoid unnecessary surgeries. 45 It is important to note, that in contrast to Parkinson's disease, benign prostatic hypertrophy (BPH) surgery worsens bladder function and is contraindicated in MSA patients. 19 In the following study we have demonstrated that surgery due to prostate hypertrophy worsened bladder function in MSA in 7 of 10 patients and did not improve bladder function considerably in the remaining.…”

“…Thus, these results emphasize that besides the application of clinical criteria, neuro‐urological and urodynamic examination may be indispensable in a subset of patients. A detailed assessment of LUT dysfunction is important to underpin diagnosis of MSA as well as to anticipate potential coexisting conditions and thus, to avoid unnecessary surgeries 45 . It is important to note, that in contrast to Parkinson's disease, benign prostatic hypertrophy (BPH) surgery worsens bladder function and is contraindicated in MSA patients 19 .…”

Should We Always Use Antibiotics after Urodynamic Studies in High-Risk Patients?

“…Вже було опубліковано, що УДД у багатьох випадках суттєво змінювало клінічне враження лікаря стосовно діагнозу пацієнта, пов'язаного зі стресовим нетриманням сечі та невідкладним нетриманням сечі [2]. УДД також може допомогти в кращому розумінні дисфункцій у пацієнтів із неврологічними розладами, а також у розумінні змін функцій нижніх сечовивідних шляхів у пацієнтів з онкологічними захворюваннями гінекологічних органів малого таза до та після радикального лікування [3,4]. УДД -це інвазивна процедура, яка передбачає катетеризацію; тому після проведення УДД можуть спостерігатися інфекції сечовивідних шляхів (ІСШ) або бактеріурія, причому частота бактеріурії становить від 1,5% до 30% [5].…”

Should We Always Use Antibiotics after Urodynamic Studies in High-Risk Patients?

“…It has been already published that UDS, in many cases, significantly changed the ordering clinician's clinical impression of the patient's diagnosis for stress urinary incontinence and for urgency urinary incontinence [ 2 ]. UDS can also help in the better understanding of dysfunctions in patients with neurologic disorders, and in comprehending the changes in lower urinary tract functions in patients with pelvic gynaecologic cancer before and after radical treatment [ 3 , 4 ]. UDS are an invasive procedure that involves catheterization; therefore, urinary tract infection (UTI) or bacteriuria may be observed after UDS, with an incidence of bacteriuria ranging from 1.5 to 30% [ 5 ].…”