Neuromuscular Lower Urinary Tract Dysfunction

Common patterns of voiding dysfunction, from Campbell's

Goals for managing LUT dysfunction, from Campbell's

Workup of PD patient with LUTS, from Sakakibara 2016

Diagnosing patients with LUTS and parkinsonism, from Sakakibara 2016

Solomon-Greenwell nomogram for predicting female BOO, from Solomon 2017

Evaluation of NMLUTD

Considerations

AUA 2021 Guidelines Risk Recommendations

Treatment

Treatment goals

Low-risk patients

Retention

Incontinence

End-stage bladder (poor compliance, resistant to more conservative treatments)

Specific management issues

Urinary tract infections

Catheters

Autonomic Dysreflexia

Cerebral diseases

Stroke (cerebrovascular accident)

Parkinson Disease (PD)

Parkinson+ syndromes

Multiple system atrophy (MSA)

Traumatic Brain Injury

Other diseases

Spinal cord diseases

Multiple sclerosis (MS)

Spinal cord injury (SCI)

Spina bifida

Other diseases

Lower motor neuron diseases

Lumbar disc disease

Spinal stenosis (narrowing of canal/foramina)

Pelvic surgery

Diabetes

Herpes

Guillain Barre Syndrome

Voiding syndromes

Detrusor sphincter dyssynergia

Dysfunctional voiding

Bladder neck dysfunction

Female bladder outlet obstruction

Bashful bladder (low-flow voiding)

Fowler syndrome

Post-operative urinary retention

Irradiated bladder

Defunctionalized bladder

References