title: [Benign prostatic hyperplasia and neurourology].
abstract: Benign prostatic hyperplasia, which is usually treated conservatively (except in the presence of complications) in non-neurological patients, needs to be managed even more cautiously in patients with neurogenic bladder. The treatment decision must include analysis of the previous voiding mode. The development of detrusor-sphincter dyssynergia in an elderly man with a neurological disease must raise the suspicion of prostatic obstruction. The difficulty of establishing a diagnosis of obstruction, that cannot always be confirmed by clinical tools, urodynamic assessment or the search for renal complications, may lead to temporary prostatic stenting as a diagnostic procedure. Certain situations are more specifically encountered in patients with neurogenic bladder: spinal cord injury patients with reflex voiding, patients with stroke and its sequelae, ageing men and diabetic patients.
authors.affiliation: Service d'urologie, GH Pitié Salpétrière, Université Paris VI, France. emmanuel.chartier-kastler@psl.aphp.fr
authors.forename: E
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: P
authors.initials: P
authors.lastname: Mozer
authors.forename: N
authors.initials: N
authors.lastname: Ayoub
authors.forename: F
authors.initials: F
authors.lastname: Richard
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
mesh_terms: D006801:Humans; D007674:Kidney Diseases / Q000209:etiology; D008297:Male; D015917:Penile Prosthesis; D011470:Prostatic Hyperplasia / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D011474:Prosthesis Design; D001750:Urinary Bladder, Neurogenic / Q000209:etiology