CUA: Neurogenic Lower Urinary Tract Dysfunction (2019): Difference between revisions
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==== '''Urodynamics''' ==== | ==== '''Urodynamics''' ==== | ||
* '''Gold standard for evaluating NLUTD''' | * '''<span style="color:#ff0000">Gold standard for evaluating NLUTD''' | ||
*'''Necessary due to the absence of normal lower urinary tract sensation and the poor ability of symptoms to predict high-risk features.''' | *'''<span style="color:#ff0000">Necessary due to the absence of normal lower urinary tract sensation and the poor ability of symptoms to predict high-risk features.''' | ||
* '''VideoUDS are preferred, as the additional correlation with imaging allows assessment of (3):''' | * '''<span style="color:#ff0000">VideoUDS are preferred, as the additional correlation with imaging allows assessment of (3):''' | ||
*# '''VUR''' | *# '''<span style="color:#ff0000">VUR''' | ||
*# '''Abnormal bladder morphology''' | *# '''<span style="color:#ff0000">Abnormal bladder morphology''' | ||
*# '''Behaviour of the urinary sphincters during voiding''' | *# '''<span style="color:#ff0000">Behaviour of the urinary sphincters during voiding''' | ||
** The availability of videoUDS is not universal; a voiding cystogram is an acceptable alternative in some cases | ** The availability of videoUDS is not universal; a voiding cystogram is an acceptable alternative in some cases | ||
* Urodynamic diagnoses, such as neurogenic detrusor overactivity (NDO), impaired compliance, reduced bladder capacity, or a high detrusor leak point pressure (DLPP, defined as the lowest detrusor pressure at which urine leaks from the bladder in the absence of a detrusor contraction or increased abdominal straining) can identify a patient with potentially higher risk of urological complications (such as renal dysfunction, urinary infections, and incontinence). | * Urodynamic diagnoses, such as neurogenic detrusor overactivity (NDO), impaired compliance, reduced bladder capacity, or a high detrusor leak point pressure (DLPP, defined as the lowest detrusor pressure at which urine leaks from the bladder in the absence of a detrusor contraction or increased abdominal straining) can identify a patient with potentially higher risk of urological complications (such as renal dysfunction, urinary infections, and incontinence). | ||