Good Urodynamic Practice for Patients with Neurogenic Lower Urinary Tract Dysfunction

Abstract

Urodynamic assessment is of undisputed value for the diagnosis of lower urinary tract dysfunctions that occur with neurological diseases. This chapter discusses lower urinary tract pathophysiology and urodynamic testing of adult patients with relevant neurological abnormalities. It presents the practice of urodynamic testing in these patients, based on and, adapted from the International Continence Society – Good Urodynamic Practices Standard. Specific patient groups, congenital neurogenic dysfunction and dysfunctions as the consequence of later life onset neurology, are discussed with a focus on the pathophysiology of the dysfunction. Good Practice of Video-urodynamics is explained. A reference list is included for further reading.