JCM, Vol. 12, Pages 1400: Current Surgical Treatment for Neurogenic Lower Urinary Tract Dysfunction in Patients with Chronic Spinal Cord Injury

JCM, Vol. 12, Pages 1400: Current Surgical Treatment for Neurogenic Lower Urinary Tract Dysfunction in Patients with Chronic Spinal Cord Injury

Journal of Clinical Medicine doi: 10.3390/jcm12041400

Authors: Yu-Hua Fan Yuan-Chi Shen Chih-Chen Hsu Po-Ming Chow Po-Chih Chang Yu-Hua Lin Shang-Jen Chang Yuan-Hong Jiang Chun-Hou Liao Chung-Cheng Wang Chun-Te Wu Hann-Chorng Kuo

This study aimed to present a comprehensive literature review of the efforts of a spinal cord injury workgroup in Taiwan regarding urologic surgery for neurogenic lower urinary tract dysfunction (NLUTD) in patients with chronic spinal cord injury (SCI). Surgical procedures should be viewed as a final option for managing patients with SCI who have persistent symptoms and complications that cannot be resolved by other means. Surgeries can be grouped according to their purpose: reducing bladder pressures, reducing urethra resistance, increasing urethra resistance, and urinary diversion. The choice of surgery depends on the type of LUTD based on urodynamic tests. Additionally, cognitive function, hand motility, comorbidities, efficacy of surgery, and related complications should be considered.