One of the well reported but difficult to manage symptoms of spinal cord injury (SCI) is neurogenic lower urinary tract dysfunction (NLUTD). The type of NLUTD is variable based on location and extent of injury. SCI affects more males and NLUTD is especially debilitating for men with incomplete injury. This review summarizes the anatomical basis of NLUTD in SCI and discusses current diagnostic and management strategies that are being utilized clinically. The last two sections address new innovations and emerging discoveries with the goal of increasing scientific interest in improving treatment options for people with SCI. Areas warranting further investigation are pinpointed to address current gaps in knowledge and/or appropriate technology.
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Spinal cord injury and neurogenic lower urinary tract dysfunction: what
do we know and where are we going?
William Dodd1, Kartik Motwani1, Coulter Small1, Kevin Pierre1, Devan Patel1, Samuel Malnik1, Brandon Lucke-Wold1,*, Ken Porche1
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1
Department of Neurosurgery, University of Florida, Gainesville, FL 32601, USA
*Correspondence: brandon.luckewold@gmail.com (Brandon Lucke-Wold)
J. Mens. Health 2022, 18(1), 24;
https://doi.org/10.31083/j.jomh1801024
Submitted: 17 September 2021 | Accepted: 20 October 2021 | Published: 19 January 2022
(This article belongs to the Special Issue Voiding Dysfunction and Spinal Cord Injury)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract
Keywords
Spinal cord injury
Neurogenic lower urinary tract dysfunction
Diagnostics
Neurostimulation
Emerging discoveries