Abstract
Guidelines regarding neurogenic lower urinary tract dysfunction have been put forth by urologic associations and other clinical advisory systems throughout the world. The major European, American, and international guidelines including those of the European Association of Urology, National Institute for Health and Care Excellence, American Urological Association/Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, Canadian Urological Association (CUA), and International Consultation on Incontinence are discussed. First, the methodologies and verbiage of the respective guidelines are examined. Then, the guidelines are reviewed as they relate to the major aspects of the diagnosis and management of neurogenic lower urinary tract dysfunction: clinical history; physical examination; risk assessment; laboratory and imaging investigations; urodynamics; non-invasive conservative management strategies; autonomic dysreflexia; medical management strategies for filling and emptying; assisted bladder drainage methods; minimally-invasive and surgical management for storage and emptying; surveillance and follow up; prevention, diagnosis, and treatment of urinary tract infection; sexual function and fertility. Finally, guidelines as they relate to pediatric neurogenic lower urinary tract dysfunction are discussed.
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References
D.A. Ginsberg, T.B. Boone, A.P. Cameron, et al., The AUA/SUFU guideline on adult neurogenic lower urinary tract dysfunction: diagnosis and evaluation. J. Urol. 206(5), 1106–1113 (2021). https://doi.org/10.1097/JU.0000000000002235
G. Guyatt, A.D. Oxman, E.A. Akl, et al., GRADE guidelines: 1. Introduction – GRADE evidence profiles and summary of findings tables. J. Clin. Epidemiol. 64(4), 383–394 (2011)
H. Balshem, M. Helfand, H.J. Schünemann, et al., GRADE guidelines: 3. Rating the quality of evidence. J. Clin. Epidemiol. 64(4), 401–406 (2011)
B. Blok DC-D, G. Del Popolo, J. Groen, R. Hamid, G. Karsenty, T.M. Kessler, J. Pannek, Guidelines Associates: H. Ecclestone SM, B. Padilla-Fernández, A. Sartori, L.A. ‘t Hoen, Neuro-urology guidelines, in European Association of Urology Guidelines, (EAU Guidelines Office, Arnhem, 2020)
G.H. Guyatt, A.D. Oxman, G.E. Vist, et al., GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336(7650), 924–926 (2008)
G.H. Guyatt, A.D. Oxman, R. Kunz, G.E. Vist, Y. Falck-Ytter, H.J. Schünemann, What is “quality of evidence” and why is it important to clinicians? BMJ 336(7651), 995–998 (2008)
G.H. Guyatt, A.D. Oxman, R. Kunz, et al., Going from evidence to recommendations. BMJ 336(7652), 1049–1051 (2008)
National Institute for Health and Care Excellence, Clinical guideline on urinary incontinence in neurological disease: assessment and management. (2012). https://www.nice.org.uk/guidance/cg148/resources/urinary-incontinence-in-neurological-disease-assessment-and-management-pdf-35109577553605. Accessed 21 Sept 2021
A. Kavanagh, R. Baverstock, L. Campeau, et al., Canadian urological association guideline: diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction–full text. Can. Urol. Assoc. J. 13(6), E157 (2019)
P. Abrams, S. Khoury, A. Grant, Evidence-based medicine overview of the main steps for developing and grading guideline recommendations. Prog. Urol. 17(3), 681–684 (2007)
P. Abrams, S. Khoury, International consultation on urological diseases: evidence-based medicine overview of the main steps for developing and grading guideline recommendations. Neurourol Urodyn 29(1), 116–118 (2010)
M.J. Drake, A. Apostolidis, A. Cocci, et al., Neurogenic lower urinary tract dysfunction: clinical management recommendations of the Neurologic Incontinence committee of the fifth International Consultation on Incontinence 2013. Neurourol. Urodyn. 35(6), 657–665 (2016)
J. Pannek, M. Kennelly, T.M. Kessler, T. Linsenmeyer, J.-J. Wyndaele, F. Biering-Sørensen, International spinal cord injury urodynamic basic data set (version 2.0). Spinal Cord Ser. Cases 4(1), 1–5 (2018)
F. Biering-Sørensen, M. Craggs, M. Kennelly, E. Schick, J. Wyndaele, International urodynamic basic spinal cord injury data set. Spinal Cord 46(7), 513–516 (2008)
R. Stein, G. Bogaert, H.S. Dogan, et al., EAU/ESPU guidelines on the management of neurogenic bladder in children and adolescent part I diagnostics and conservative treatment. Neurourol. Urodyn. 39(1), 45–57 (2020)
R. Stein, G. Bogaert, H.S. Dogan, et al., EAU/ESPU guidelines on the management of neurogenic bladder in children and adolescent part II operative management. Neurourol. Urodyn. 39(2), 498–506 (2020)
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Werneburg, G.T., Goldman, H.B. (2023). International Guidelines of Neurogenic Lower Urinary Tract Dysfunction. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_69
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DOI: https://doi.org/10.1007/978-981-99-1659-7_69
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