Neuro-Urology pp 249-281 | Cite as

Infections in Neuro-urology

  • Muhammad RasheedEmail author
  • Arndt van Ophoven


There is a high incidence of recurrent cystitis and complicated urinary tract infection in patients with neurogenic bladder. Adequate bladder management can reduce the episodes of recurrent infection and urinary incontinence in neurogenic bladder dysfunction. Inappropriate treatment of urinary tract infection can damage the renal functions due to reflex pyelonephritis and vesicoureteral reflux. The better understanding of functional urology improves the quality of life in patients with neurogenic bladder.

This chapter emphasizes the relevance and impact of infections of the urinary tract in neuro-urology. It provides not only the information of global epidemiological causes, diagnosis, and treatment of urinary tract infection but also helpful tools to decrease the incidence of recurrent bladder infections in neuro-urology and to reduce the antimicrobial resistance worldwide.

Advanced microbiological technologies for the detection of responsible infection agents are helpful to minimize urosepsis. The application of sequential organ failure assessment score in intensive care unit reduces the high economic burden on the society while achieving sufficient reduction in morbidity and mortality of patients.

This chapter should be of interest to many different professionals, medical students, medical, surgical residents, as well as consultants in urology and infectious diseases.


Recurrent infection Urinary incontinence Neurogenic bladder dysfunction Antimicrobial resistance Nonsurgical bladder management in neuro-urology 



Acute cystitis symptom score


Adrenocorticotrophic hormone


Acute urinary cystitis


Benign prostatic hyperplasia


Catheter associated


Catheter-associated bacteriuria


Catheter-associated asymptomatic bacteriuria


Catheter-associated urinary tract infection


Community-associated UTI


Colony forming unit


Clean intermittent catheterization


Detrusor sphincter dyssynergia


Detrusor sphincter dyssynergia


Extended-spectrum beta-lactamase




Healthcare-associated urinary tract infection


Indwelling catheter


Infectious Disease Society of America






Methicillin-resistant Staphylococcus aureus


Multiple sclerosis


Nosocomial urinary tract infections


Neurogenic bladder


Neurogenic detrusor overactivity


Nuclear factor kappa-light-chain-enhancer of activated B cells


Quick sequential (sepsis-related) organ failure assessment


Spinal cord injury


Secretory immunoglobulin-A


Sequential (sepsis-related) organ failure assessment


Supra pubic catheterization


Toll-like receptors




Tumor necrosis factor




Urinary tract infection


Video urodynamics


Vesicoureteral reflux


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neuro-UrologyMarien Hospital Herne, University Clinic Bochum, The Ruhr University BochumHerneGermany

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