Overview
Neurogenic lower urinary tract dysfunction (NLUTD) is a condition characterized by abnormal bladder function due to a neurological disorder 1. Poliomyelitis is a potential cause of NLUTD, affecting the nerves that control bladder function 1.Diagnosis
Diagnosis involves assessing lower urinary tract symptoms and performing urodynamic studies to evaluate bladder and sphincter function 1.
Specific grading systems for NLUTD are utilized, though not detailed in the provided abstracts 1.Management
Management strategies aim to achieve continence, protect renal function, and improve quality of life 1.
Treatment options may include behavioral therapies, clean intermittent catheterization (CIC), anticholinergic medications, and surgical interventions 1.
Guidelines suggest a stepwise approach, starting with less invasive measures 1.Key Recommendations
Clinical practice guidelines for pediatric NLUTD should be developed with a focus on applicability to clinical practice 1.
Management of NLUTD should aim to achieve urinary continence and protect upper urinary tract function 1.
Urodynamic studies are a key component in the diagnosis and management of NLUTD 1.References
1 Yadav P, Alsabban A, de Los Reyes T, Varghese A, Ming JM, Milford K et al.. A systematic review of paediatric neurogenic lower urinary tract dysfunction guidelines using the Appraisal of Guidelines and Research Evaluation (AGREE) II instrument. BJU international 2023. link