Current Surgical Treatment for Neurogenic Lower Urinary Tract Dysfunction in Patients with Chronic Spinal Cord Injury

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 Feb 25

PMID 36835937

Authors

Yu-Hua Fan

Yuan-Chi Shen

Chih-Chen Hsu

Po-Ming Chow

Po-Chih Chang

Yu-Hua Lin

Shang-Jen Chang

Yuan-Hong Jiang

Chun-Hou Liao

Chung-Cheng Wang

Chun-Te Wu

Hann-Chorng Kuo

Affiliations

Soon will be listed here.

Abstract

This study aimed to present a comprehensive literature review of the efforts of a spinal cord injury workgroup in Taiwan regarding urologic surgery for neurogenic lower urinary tract dysfunction (NLUTD) in patients with chronic spinal cord injury (SCI). Surgical procedures should be viewed as a final option for managing patients with SCI who have persistent symptoms and complications that cannot be resolved by other means. Surgeries can be grouped according to their purpose: reducing bladder pressures, reducing urethra resistance, increasing urethra resistance, and urinary diversion. The choice of surgery depends on the type of LUTD based on urodynamic tests. Additionally, cognitive function, hand motility, comorbidities, efficacy of surgery, and related complications should be considered.

Citing Articles

Efficacy of Urethral Sphincter Botulinum Toxin A Injection in Patients with Spinal Cord Injury with Dysuria: A Retrospective Cohort Study.

Yu W, Tian J, Kuo H Toxins (Basel). 2024; 16(8).

PMID: 39195746 PMC: 11359143. DOI: 10.3390/toxins16080336.

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