Surgical Management of Neurogenic Lower Urinary Tract Dysfunction.

Ronak A Gor, Sean P Elliott

Journal: The Urologic clinics of North America 2017;44(3):475-490

PMID: 28716327

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Abstract

Surgery for patients with neurogenic urinary tract dysfunction (nLUTD) is indicated when medical therapy fails, to correct conditions affecting patient safety, or when surgery can enhance the quality of life better than nonoperative management. Examples include failure of maximal medical therapy, inability to perform or aversion to clean intermittent catheterization, refractory incontinence, and complications from chronic, indwelling catheters. Adults with nLUTD have competing risk factors, including previous operations, obesity, poor nutritional status, complex living arrangements, impaired dexterity/paralysis, and impaired executive and cognitive function. Complications are common in this subgroup of patients requiring enduring commitments from surgeons, patients, and their caretakers.

Address: Department of Urology, University of Minnesota, 420 Delaware Street Southeast, MMC 394, Minneapolis, MN 55455, USA.; Department of Urology, University of Minnesota, 420 Delaware Street Southeast, MMC 394, Minneapolis, MN 55455, USA. Electronic address: [email protected].

DOI: 10.1016/j.ucl.2017.04.013

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MeSH Terms: Humans, Lower Urinary Tract Symptoms, Urinary Bladder, Neurogenic, Urologic Surgical Procedures