title: Neurogenic lower urinary tract dysfunction: how, when, and with which patients do we use urodynamics?
abstract: Neurogenic lower urinary tract dysfunction (NLUTD) affects many patients and requires close monitoring. Initial studies establishing patients at risk for upper tract disease revealed that high detrusor leak point pressures were predictive of upper tract disease. Urodynamics in patients with NLUTD have specific challenges. Initial studies in patients after an acute injury should be delayed until after the spinal shock phase. In children with spinal dysraphism, studies should be done early to established potential risk. The goals are maintaining low bladder pressures, decreasing risk of infection, and maintaining continence.
authors: Department of Urology, SUNY Buffalo School of Medicine and Biomedical Sciences, Buffalo General Hospital, 100 High Street, Suite B280, Buffalo, NY 14203, USA. Electronic address: danforth@buffalo.edu.
authors: Teresa L
authors: TL
authors: Danforth
authors: Department of Urology, Keck School of Medicine of USC, University of Southern California, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089-9178, USA.
authors: David A
authors: DA
authors: Ginsberg
mesh_terms: D000465:Algorithms; D020211:Autonomic Dysreflexia / Q000175:diagnosis / Q000503:physiopathology; D018660:Blood Pressure Monitoring, Ambulatory; D004576:Electromyography; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis*; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis*; D014563:Urodynamics
keywords: Autonomic dysreflexia; Myelodysplasia; Neurogenic bladder; Spinal cord injury; Urodynamics