Surgical Management of Neurogenic Lower Urinary Tract Dysfunction

Ronak A. Gor, Sean P. Elliott

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)475-490
Number of pages16
JournalUrologic Clinics of North America
Volume44
Issue number3
DOIs
StatePublished - Aug 2017

Keywords

  • Congenital urology
  • Neurogenic bladder
  • Spina bifida
  • Transitional urology
  • Urinary diversion
  • Urinary reconstruction

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