SPECIAL ARTICLE  MANAGEMENT OF NEUROGENIC LOWER URINARY TRACT DYSFUNCTION Free access

European Journal of Physical and Rehabilitation Medicine 2017 December;53(6):975-80

DOI: 10.23736/S1973-9087.17.04992-9

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Diagnosis and clinical evaluation of neurogenic bladder

Gerard AMARENCO ✉, Samer SHEIKH ISMAËL, Camille CHESNEL, Audrey CHARLANES, Frederique LE BRETON

Clinical Research Group in Neurourology (GREEN), GRC 01, AP-HP, Pierre et Marie Curie University, Sorbonne Universities, Service of Neurourology, Tenon Hospital, Paris, France

Neurologic diseases lead to urinary dysfunctions. The aim of this article was to present an overview of diagnosis and evaluation of neurogenic bladder with a special focus on urodynamic tests. Overactive bladder, with high detrusor pressure associated with detrusor sphincter dyssynergia, can lead to severe complications with renal failure, upper urinary tract dilatation and infectious complications. Underactive bladder with voiding dysfunction and urinary retention, is also a risk factor of urological alterations. Full clinical examinations, including urodynamics and selective radiographic imaging studies, are essential to best manage these patients.

KEY WORDS: Urinary bladder, neurogenic - Urinary bladder, overactive - Urodynamics