Classification and Terminology of Neurogenic LUT Dysfunction

Abstract

Nowadays we are well aware that neurologic lesions causing LUTs are diverse and differ in terms of the parts of the neurosystem affected, thus causing different symptoms, different signs, different urodynamic observations, and need different approaches. Nerval control of continence and micturition is organized on a cerebral, spinal, and peripheral level, and they are all cross-linked. Based on the location of the lesion one can distinguish between suprapontine, pontine, suprasacral, and sacral spinal cord lesions and peripheral lesions. Depending on the extent and the completeness of the lesion also different symptoms, signs, and urodynamic patterns are caused. Therefore, a very special type of disorder will be found in every single neuro-urological patient. Current classifications serve therefore only as a framework since it is not possible to map all lesions and its consequences of every patient in one classification.