Editing Neurogenic LUT Dysfunction (section)

==== Vesicoureteral reflux ====
* '''Incidence between 17-25% in SCI patients, more common in those with suprasacral SCI.'''
** Persistent reflux can lead to chronic renal damage and may be an important factor in the long-term survival of SCI patients.
* '''Contributing factors include:'''
*# '''Elevated intravesical pressure during filling and emptying'''
*# '''Infection'''
* '''Management'''
** '''The best initial treatment for VUR in a patient with voiding dysfunction secondary to neurologic disease or injury is to normalize LUT urodynamics (i.e., decrease storage pressures and decrease outlet resistance) as much and as quickly as possible.'''
*** Depending on the clinical circumstances, this may be achieved by pharmacotherapy, urethral dilatation (in the myelomeningocele patient), neuromodulation, deafferentation, augmentation cystoplasty, or sphincterotomy