The Urologic Impact of Guillain–Barré Syndrome
Guillain–Barré Syndrome is an acute flaccid paralysis that is rapidly progressing. Neurologic decline continues for 12 hours to 4 weeks after symptom onset. Approximately 25% of patients develop acute urinary symptoms such as difficulty voiding or frank urinary retention. Longer term urinary symptoms include persistent overactive bladder and nocturia. Key urologic interventions include indwelling catheter during acute phase, particularly when patient is experiencing respiratory failure; intermittent catheterization for retention if patient has preserved hand function; voiding trial after neurologic recovery; and anticholinergics for persistent overactive bladder after recovery.
KeywordsNeurourology Urodynamic studies Guillain–Barré Urinary retention Nocturia
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