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Pathophysiology, Clinical Presentation and Management of Neurogenic Bladder

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Autonomic Disorders in Clinical Practice

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Abstract

The lower urinary tract has both storage and voiding functions that are regulated and coordinated by a complex neural control system in the central, somatic and autonomic peripheral nervous systems. Therefore, lower urinary tract dysfunction is present in many different neurological diseases and a variety of neuro-urological symptoms and complications might occur, with typical clinical, ultrasound and urodynamic features based on the site of the neurological lesion. A thorough history and a neurological and urological examination should always be performed in order to diagnose neurogenic pelvic dysfunction and to plan further tests; management of neurogenic lower urinary tract dysfunctions should consider both storage and voiding dysfunctions and determine the severity of symptoms and the risk of upper urinary tract damage.

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Authors and Affiliations

  1. Neurology Department, IRCCS INRCA-National Institute of Health and Science on Aging, Ancona, Italy

    Giuseppe Pelliccioni, Valentina Cameriere & Deborah Sabbatini

  2. Urology Department, Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Ancona, Italy

    Daniele Castellani

  3. Neurology Unit, Department of Systems Medicine, Policlinico Tor Vergata, University of Rome “Tor Vergata”, Rome, Italy

    Camilla Rocchi

  4. Neurology Clinic, Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy

    Pietro Pelliccioni

Authors
  1. Giuseppe Pelliccioni
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  2. Daniele Castellani
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  3. Camilla Rocchi
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  4. Valentina Cameriere
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  5. Deborah Sabbatini
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  6. Pietro Pelliccioni
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Corresponding author

Correspondence to Giuseppe Pelliccioni .

Editor information

Editors and Affiliations

  1. Emergency Neurology, Fondazione Istituto Neurologico Nazionale Mondino, Pavia, Italy

    Giuseppe Micieli

  2. Dept. of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany

    Max Hilz

  3. Neurology, Operative Director IRCCS ISNB, University of Bologna, Bologna, Italy

    Pietro Cortelli

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Pelliccioni, G., Castellani, D., Rocchi, C., Cameriere, V., Sabbatini, D., Pelliccioni, P. (2023). Pathophysiology, Clinical Presentation and Management of Neurogenic Bladder. In: Micieli, G., Hilz, M., Cortelli, P. (eds) Autonomic Disorders in Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-43036-7_12

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  • DOI: https://doi.org/10.1007/978-3-031-43036-7_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-43035-0

  • Online ISBN: 978-3-031-43036-7

  • eBook Packages: MedicineMedicine (R0)

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