Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients
This article reports the current evidence and expert opinions on patient-centered bladder management of neurogenic lower urinary tract dysfunction (NLUTD) among chronic spinal cord injured (SCI) patients in Taiwan. The main problems with SCI-NLUTD are failure to store, empty, or both. The management...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Urological Science |
| Subjects: | |
| Online Access: | http://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2023;volume=34;issue=3;spage=109;epage=116;aulast=Lin |
| _version_ | 1797645273061654528 |
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| author | Yu-Hua Lin Yu-Hua Fan Chun-Te Wu Yuan-Chi Shen Ju-Chuan Hu Shi-Wei Huang Po-Ming Chow Po-Chih Chang Chun-Hou Liao Yu-Chen Chen Victor Chia-Hsiang Lin Chih-Chen Hsu Shang-Jen Chang Chung-Cheng Wang Wei-Yu Lin Chih-Chieh Lin Yuan-Hong Jiang Hann-Chorng Kuo |
| author_facet | Yu-Hua Lin Yu-Hua Fan Chun-Te Wu Yuan-Chi Shen Ju-Chuan Hu Shi-Wei Huang Po-Ming Chow Po-Chih Chang Chun-Hou Liao Yu-Chen Chen Victor Chia-Hsiang Lin Chih-Chen Hsu Shang-Jen Chang Chung-Cheng Wang Wei-Yu Lin Chih-Chieh Lin Yuan-Hong Jiang Hann-Chorng Kuo |
| author_sort | Yu-Hua Lin |
| collection | DOAJ |
| description | This article reports the current evidence and expert opinions on patient-centered bladder management of neurogenic lower urinary tract dysfunction (NLUTD) among chronic spinal cord injured (SCI) patients in Taiwan. The main problems with SCI-NLUTD are failure to store, empty, or both. The management of SCI-NLUTD should be prioritized as follows: (a) preservation of renal function, (b) freedom from urinary tract infection, (c) efficient bladder emptying, (d) freedom from indwelling catheters, (e) patient agreement with management, and (f) avoidance of medication after proper management. The management of NLUTD in SCI patients must be based on urodynamic findings rather than neurologic evaluation inferences. It is important to identify high-risk patients to prevent renal functional deterioration in those with chronic SCI-NLUTD. Urodynamic studies should be performed on patients with SCI on a regular basis, and any urological complications should be adequately treated. When surgery is required, less invasive and reversible procedures should be considered first, and any unnecessary surgery in the lower urinary tract should be avoided. The most important aspect of treatment is to improve the quality of life in SCI patients with NLUTD. Annual active surveillance of bladder and renal function is required to avoid renal function deterioration and urological complications, particularly in high-risk SCI patients. |
| first_indexed | 2024-03-11T14:43:58Z |
| format | Article |
| id | doaj.art-066278673f354519ba4b3c3c64587e78 |
| institution | Directory Open Access Journal |
| issn | 1879-5226 |
| language | English |
| last_indexed | 2024-03-11T14:43:58Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urological Science |
| spelling | doaj.art-066278673f354519ba4b3c3c64587e782023-10-30T12:07:08ZengWolters Kluwer Medknow PublicationsUrological Science1879-52262023-01-0134310911610.4103/UROS.UROS_118_22Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patientsYu-Hua LinYu-Hua FanChun-Te WuYuan-Chi ShenJu-Chuan HuShi-Wei HuangPo-Ming ChowPo-Chih ChangChun-Hou LiaoYu-Chen ChenVictor Chia-Hsiang LinChih-Chen HsuShang-Jen ChangChung-Cheng WangWei-Yu LinChih-Chieh LinYuan-Hong JiangHann-Chorng KuoThis article reports the current evidence and expert opinions on patient-centered bladder management of neurogenic lower urinary tract dysfunction (NLUTD) among chronic spinal cord injured (SCI) patients in Taiwan. The main problems with SCI-NLUTD are failure to store, empty, or both. The management of SCI-NLUTD should be prioritized as follows: (a) preservation of renal function, (b) freedom from urinary tract infection, (c) efficient bladder emptying, (d) freedom from indwelling catheters, (e) patient agreement with management, and (f) avoidance of medication after proper management. The management of NLUTD in SCI patients must be based on urodynamic findings rather than neurologic evaluation inferences. It is important to identify high-risk patients to prevent renal functional deterioration in those with chronic SCI-NLUTD. Urodynamic studies should be performed on patients with SCI on a regular basis, and any urological complications should be adequately treated. When surgery is required, less invasive and reversible procedures should be considered first, and any unnecessary surgery in the lower urinary tract should be avoided. The most important aspect of treatment is to improve the quality of life in SCI patients with NLUTD. Annual active surveillance of bladder and renal function is required to avoid renal function deterioration and urological complications, particularly in high-risk SCI patients.http://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2023;volume=34;issue=3;spage=109;epage=116;aulast=Linbladder managementguidelineslower urinary tract dysfunctionneurogenic bladderspinal cord injurysurgery |
| spellingShingle | Yu-Hua Lin Yu-Hua Fan Chun-Te Wu Yuan-Chi Shen Ju-Chuan Hu Shi-Wei Huang Po-Ming Chow Po-Chih Chang Chun-Hou Liao Yu-Chen Chen Victor Chia-Hsiang Lin Chih-Chen Hsu Shang-Jen Chang Chung-Cheng Wang Wei-Yu Lin Chih-Chieh Lin Yuan-Hong Jiang Hann-Chorng Kuo Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients Urological Science bladder management guidelines lower urinary tract dysfunction neurogenic bladder spinal cord injury surgery |
| title | Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients |
| title_full | Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients |
| title_fullStr | Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients |
| title_full_unstemmed | Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients |
| title_short | Clinical guidelines of patient-centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury – Part 3: Surgical treatment in chronic spinal cord injured patients |
| title_sort | clinical guidelines of patient centered bladder management of neurogenic lower urinary tract dysfunction due to chronic spinal cord injury part 3 surgical treatment in chronic spinal cord injured patients |
| topic | bladder management guidelines lower urinary tract dysfunction neurogenic bladder spinal cord injury surgery |
| url | http://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2023;volume=34;issue=3;spage=109;epage=116;aulast=Lin |
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