Neurogenic bladder – concepts and treatment recommendations

ABSTRACT Introduction: Bladder and urinary sphincter malfunctioning that results from some change in the central and/or peripheral nervous system is defined as neurogenic bladder. The urinary tract symptoms that can be related to its filling, emptying, or both have a significant impact on the quali...

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Main Authors: José Carlos Truzzi, Fernando Gonçalves de Almeida, Carlos Alberto Sacomani, Joceara Reis, Flávio Eduardo Trigo Rocha
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2022-03-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200220&tlng=en
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author José Carlos Truzzi
Fernando Gonçalves de Almeida
Carlos Alberto Sacomani
Joceara Reis
Flávio Eduardo Trigo Rocha
author_facet José Carlos Truzzi
Fernando Gonçalves de Almeida
Carlos Alberto Sacomani
Joceara Reis
Flávio Eduardo Trigo Rocha
author_sort José Carlos Truzzi
collection DOAJ
description ABSTRACT Introduction: Bladder and urinary sphincter malfunctioning that results from some change in the central and/or peripheral nervous system is defined as neurogenic bladder. The urinary tract symptoms that can be related to its filling, emptying, or both have a significant impact on the quality of life of individuals. The present review was based on the document prepared for the public health system in Brazil as a treatment guidelines proposal. Material and Methods: Survey questions were structured as per PICO (Population, Intervention, Control, and Outcome). Search strategies were defined and performed in the MEDLINE/Pubmed, Embase, Epistemonikos and Google Scholar databases. The selection of articles followed the evidence hierarchy concept; evidence body was identified, and the quantitative study data were extracted. The quality of evidence and grade of recommendation were qualitatively assessed according to GRADE (Grading of Recommendations, Assessment, Development and Evaluations). Results: A total of 2.707 articles were identified, with 49 of them being selected to compose the basis for this review. Neurogenic bladder treatments were classified according to their focus on filling or emptying symptoms and sub- classified in pharmacological and surgical treatments. Conclusion: Treatment guidelines are important tools for the public health system to promote the best practice when treating neurogenic bladder patients.
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spelling doaj.art-0cb4a3f24a4d4b47beb391a1a6fb96342022-12-22T00:03:13ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192022-03-0148222024310.1590/s1677-5538.ibju.2021.0098Neurogenic bladder – concepts and treatment recommendationsJosé Carlos Truzzihttps://orcid.org/0000-0002-9439-0577Fernando Gonçalves de AlmeidaCarlos Alberto SacomaniJoceara ReisFlávio Eduardo Trigo RochaABSTRACT Introduction: Bladder and urinary sphincter malfunctioning that results from some change in the central and/or peripheral nervous system is defined as neurogenic bladder. The urinary tract symptoms that can be related to its filling, emptying, or both have a significant impact on the quality of life of individuals. The present review was based on the document prepared for the public health system in Brazil as a treatment guidelines proposal. Material and Methods: Survey questions were structured as per PICO (Population, Intervention, Control, and Outcome). Search strategies were defined and performed in the MEDLINE/Pubmed, Embase, Epistemonikos and Google Scholar databases. The selection of articles followed the evidence hierarchy concept; evidence body was identified, and the quantitative study data were extracted. The quality of evidence and grade of recommendation were qualitatively assessed according to GRADE (Grading of Recommendations, Assessment, Development and Evaluations). Results: A total of 2.707 articles were identified, with 49 of them being selected to compose the basis for this review. Neurogenic bladder treatments were classified according to their focus on filling or emptying symptoms and sub- classified in pharmacological and surgical treatments. Conclusion: Treatment guidelines are important tools for the public health system to promote the best practice when treating neurogenic bladder patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200220&tlng=enUrinary BladderNeurogenicTherapeuticsUrinary SphincterArtificial
spellingShingle José Carlos Truzzi
Fernando Gonçalves de Almeida
Carlos Alberto Sacomani
Joceara Reis
Flávio Eduardo Trigo Rocha
Neurogenic bladder – concepts and treatment recommendations
International Brazilian Journal of Urology
Urinary Bladder
Neurogenic
Therapeutics
Urinary Sphincter
Artificial
title Neurogenic bladder – concepts and treatment recommendations
title_full Neurogenic bladder – concepts and treatment recommendations
title_fullStr Neurogenic bladder – concepts and treatment recommendations
title_full_unstemmed Neurogenic bladder – concepts and treatment recommendations
title_short Neurogenic bladder – concepts and treatment recommendations
title_sort neurogenic bladder concepts and treatment recommendations
topic Urinary Bladder
Neurogenic
Therapeutics
Urinary Sphincter
Artificial
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200220&tlng=en
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AT jocearareis neurogenicbladderconceptsandtreatmentrecommendations
AT flavioeduardotrigorocha neurogenicbladderconceptsandtreatmentrecommendations