Skip to main content
SpringerLink
Log in

The Impact of Neurologic Insult on the Lower Urinary Tract

  • Chapter
  • First Online:
Book cover Bladder Dysfunction in the Adult

Part of the book series: Current Clinical Urology ((CCU))

  • 948 Accesses

Abstract

Neurologic disease is associated with a variety of complicated voiding dysfunction scenarios. Unfortunately, the specific disease is not predictive of the type of urinary dysfunction associated with that condition. This is especially true for some of the demyelinating diseases as well as diseases which have global central nervous system impact. The global therapy is preservation of continence reduction of urinary tract infection and most importantly reduction of storage pressures while maintaining social continence in individuals afflicted with neurogenic urinary dysfunction. Overall, neurogenic disease has a higher association of lower urinary tract disorder, most commonly incontinence; however, retention and mixed patterns also contribute substantively to the overall impact of these conditions on the lower urinary tract. Baseline assessment is critical as is longitudinal assessment for certain disease states. Quality-of-life preservation and management-associated morbidities also figure prominently in the management of these conditions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wein AJ. Pathophysiology and classification of lower urinary tract dysfunction: overview. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2012.

    Google Scholar 

  2. Wein AJ, Dmochowski RR. Neuromuscular dysfunction of the lower urinary tract. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2012.

    Google Scholar 

  3. Yoshimura N, Chancellor MB. Physiology and pharmacology of the bladder and urethra. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2012.

    Google Scholar 

  4. Khan Z, Starer P, Yang WC, et al. Analysis of voiding disorders in patients with cerebrovascular accidents. Urology. 1990;35:265–70.

    Article  CAS  PubMed  Google Scholar 

  5. Brittain KR, Peet SM, Castleden CM. Stroke and incontinence. Stroke. 1998;29:524–8.

    Article  CAS  PubMed  Google Scholar 

  6. Sakakibara R, Fowler CJ, Yasuda K, et al. Voiding and MRI analysis of the brain. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10:192–9.

    Article  CAS  PubMed  Google Scholar 

  7. Wein AJ, Barrett D. Voiding function and dysfunction-a logical and practical approach. Year Book Medical: Chicago, IL; 1988.

    Google Scholar 

  8. Fowler CJ. Neurological disorders of micturition and their treatment. Brain. 1999;122:1213–31.

    Article  PubMed  Google Scholar 

  9. Kolominsky-Rabas PL, Hilz MJ, Neundoerfer B, et al. Impact of urinary incontinence after stroke: results from a prospective population-based stroke register. Neurourol Urodyn. 2003;22:322–7.

    Article  PubMed  Google Scholar 

  10. Wyndaele JJ, Castro D, Madersbacher H, et al. Neurogenic and faecal incontinence. In: Abrams P, editor. Incontinence. Paris: Health Publications; 2005. p. 1059–162.

    Google Scholar 

  11. Arunable MB, Badlani G. Urologic problems in cerebrovascular accidents. Probl Urol. 1993;7:41–53.

    Google Scholar 

  12. Chua K, Chuo A, Kong KH. Urinary incontinence after traumatic brain injury: incidence, outcomes and correlates. Brain Inj. 2003;17:469–78.

    Article  CAS  PubMed  Google Scholar 

  13. Blaivas JG. Non-traumatic neurogenic voiding dysfunction in the adult. AUA Update Series. 1985;4:1–15.

    Google Scholar 

  14. Lang EW, Chesnut RM, Hennerici M. Urinary retention and space-occupying lesions of the frontal cortex. Eur Neurol. 1996;36:43–7.

    Article  CAS  PubMed  Google Scholar 

  15. Lang AE, Lozano AM. Parkinson’s disease. N Engl J Med. 1998;339:1044–53.

    Article  CAS  PubMed  Google Scholar 

  16. Berger Y, Salinas J, Blaivas JG. Urodynamic differentiation of Parkinson disease and the Shy-Drager syndrome. Neurourol Urodyn. 1990;9:117–21.

    Article  Google Scholar 

  17. Sotolongo JR, Chancellor M. Parkinson’s disease. Probl Urol. 1993;7:54–67.

    Google Scholar 

  18. Blaivas JG, Chaikin DC, Chancellor MB, et al. Bladder dysfunction with neurologic disease. Continuum: lifelong learning in neurology. 1998;4:79–124.

    Google Scholar 

  19. Wein AJ, Rovner E. Adult voiding dysfunction secondary to neurologic disease or injury. AUA Update Series. 1999;18:42–7.

    Google Scholar 

  20. Kirby R, Fowler C, Gosling J, Bannister R. Urethrovesical dysfunction in progressive autonomic failure with multiple system atrophy. J Neurol Neurosurg Psychiatry. 1986;49:554–60.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Beck R, Fowler CJ, Mathias CJ. Genitourinary dysfunction in disorders of the autonomic nervous system. In: Ruston D, editor. Handbook of neuro-urology. New York: Marcel Dekker; 1994. p. 281–301.

    Google Scholar 

  22. Chandiramani VA, Palace J, Fowler CJ. How to recognize patients with parkinsonism who should not have urological surgery. Br J Urol. 1997;80:100–4.

    Article  CAS  PubMed  Google Scholar 

  23. Litwiller SE, Frohman EM, Zimmern PE. Multiple sclerosis and the urologist. J Urol. 1999;161:743–57.

    Article  CAS  PubMed  Google Scholar 

  24. Noseworthy JH, Lucchinetti C, Rodriguez M, et al. Multiple sclerosis. N Engl J Med. 2000;343:938–52.

    Article  CAS  PubMed  Google Scholar 

  25. Blaivas JG, Kaplan SA. Urologic dysfunction in patients with multiple sclerosis. Semin Neurol. 1988;8:159–65.

    Article  CAS  PubMed  Google Scholar 

  26. Chancellor MB, Blaivas JG. Multiple sclerosis. Probl Urol. 1993;7:15–33.

    Google Scholar 

  27. Sirls LT, Zimmern PE, Leach GE. Role of limited evaluation and aggressive medical management in multiple sclerosis: a review of 113 patients. J Urol. 1994;151:946–50.

    CAS  PubMed  Google Scholar 

  28. National Spinal Cord Injury Statistical Center, Birmingham, AL. Office of Special Education and Rehabilitative Services. Washington, DC: U.S. Department of Education; 2012.

    Google Scholar 

  29. Sullivan M, Yalla S. Spinal cord injury and other forms of myeloneuropathies. Probl Urol. 1992;6:643–58.

    Google Scholar 

  30. Thomas DG, O’Flynn KJ. Spinal cord injury. In: Mundy AR, Stephenson T, Wein AJ, editors. Urodynamics: principles, practice and application. London: Churchill Livingstone; 1994. p. 345–58.

    Google Scholar 

  31. Chancellor MB, Blaivas JG. Spinal cord injury. In: Chancellor MB, Blaivas JG, editors. Practical neurourology. Boston, MA: Butterworth-Heinemann; 1995. p. 22–118.

    Google Scholar 

  32. Linsenmeyer TA, Bagaria SP, Gendron B. The impact of urodynamic parameters on the upper tracts of spinal cord injured men who void reflexively. J Spinal Cord Med. 1998;21:15–20.

    CAS  PubMed  Google Scholar 

  33. Fam B, Yalla SV. Vesicourethral dysfunction in spinal cord injury and its management. Semin Neurol. 1988;8:150–5.

    Article  CAS  PubMed  Google Scholar 

  34. de Groat WC, Kruse M, Vizzard MA, et al. Modification of urinary bladder function after spinal cord injury. Adv Neurol. 1997;72:347–64.

    PubMed  Google Scholar 

  35. Blaivas JG, Chaikin DC, Chancellor MB, et al. Pathophysiology of the neurogenic bladder. Continuum: lifelong learning in neurology. 1998;4:21–8.

    Google Scholar 

  36. Linsenmeyer TA, Culkin D. APS recommendations for the urological evaluation of patients with spinal cord injury. J Spinal Cord Med. 1999;22:139–42.

    CAS  PubMed  Google Scholar 

  37. Kalita J, Shah S, Kapoor R, et al. Bladder dysfunction in acute transverse myelitis: magnetic resonance imaging and neurophysiological and urodynamic correlations. J Neurol Neurosurg Psychiatry. 2002;73:154–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  38. Ganesan V, Borzyskowski M. Characteristics and course of urinary tract dysfunction after acute transverse myelitis in. Dev Med Child Neurol. 2001;43:473–5.

    Article  CAS  PubMed  Google Scholar 

  39. Sakakibara R, Hattori T, Tojo M, et al. Micturitional disturbance in myotonic dystrophy. J Auton Nerv Syst. 1995;52:17–21.

    Article  CAS  PubMed  Google Scholar 

  40. Goldman H, Appell RA. Lumbar disc disease. In: Appell RA, editor. Voiding dysfunction. Totowa, NJ: Humana; 2000.

    Google Scholar 

  41. Bartolin Z, Gilja I, Bedalov G, et al. Bladder function in patients with lumbar intervertebral disk protrusion. J Urol. 1998;159:969–71.

    Article  CAS  PubMed  Google Scholar 

  42. Bartolin Z, Savic I, Persec Z. Relationship between clinical data and urodynamic findings in patients with lumbar intervertebral disc protrusion. Urol Res. 2002;30:219–22.

    Article  CAS  PubMed  Google Scholar 

  43. O’Flynn KJ, Murphy R, Thomas DG. Neurogenic bladder dysfunction in lumbar intervertebral disc prolapse. Br J Urol. 1992;69:38–40.

    Article  PubMed  Google Scholar 

  44. Bartolin Z, Vilendecic M, Derezic D. Bladder function after surgery for lumbar intervertebral disk protrusion. J Urol. 1999;161:1885–7.

    Article  CAS  PubMed  Google Scholar 

  45. Blaivas JG, Chancellor M. Cerebrovascular accidents and other intracranial lesions. In: Chancellor MB, Blaivas JG, editors. Practical Neurourology. Boston, MA: Butterworth-Heinemann; 1995. p. 119–26.

    Google Scholar 

  46. McGuire EJ. Clinical evaluation and treatment of neurogenic vesical dysfunction. In: Leslie JA, editor. International perspectives in urology. Baltimore: Williams & Wilkins; 1984. p. 43–56.

    Google Scholar 

  47. Mundy AR. Pelvic plexus injury. In: Stephenson T, Mundy AR, Wein AJ, editors. Urodynamics: principles, practice, and application. London: Churchill Livingstone; 1984. p. 273–7.

    Google Scholar 

  48. Nanigian DK, Keegan KA, Stone AR. Diabetic cystopathy. Curr Blad Dysf Rep. 2007;2:197–202.

    Article  Google Scholar 

  49. Bradley WE. Diagnosis of urinary bladder dysfunction in diabetes mellitus. Ann Intern Med. 1980;92:323–6.

    Article  CAS  PubMed  Google Scholar 

  50. Frimodt-Moller C. Diabetic cystopathy: a review of the urodynamic and clinical features of neurogenic bladder dysfunction in diabetes mellitus. Dan Med Bull. 1978;25:49–60.

    CAS  PubMed  Google Scholar 

  51. Starer P, Libow L. Cystometric evaluation of bladder dysfunction in elderly diabetic patients. Arch Intern Med. 1990;150:810–3.

    Article  CAS  PubMed  Google Scholar 

  52. Kaplan SA, Te AE, Blaivas JG. Urodynamic findings in patients with diabetic cystopathy. J Urol. 1995;153:342–4.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urologic Surgery, Vanderbilt University Medical Center, A1302 Medical Center North, Nashville, TN, 37232-2765, USA

    Roger R. Dmochowski M.D., M.M.H.C.

  2. Department of Urology, LSU Health–Shreveport, Shreveport, LA, USA

    Alex Gomelsky M.D.

Authors
  1. Roger R. Dmochowski M.D., M.M.H.C.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alex Gomelsky M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roger R. Dmochowski M.D., M.M.H.C. .

Editor information

Editors and Affiliations

  1. Perelman School of Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA

    Alan J. Wein

  2. Aarhus University, AIAS, Aarhus Institute of Advanced Studies, Aarhus, Denmark

    Karl-Erik Andersson

  3. Urological Institute, University of Bristol and Bristol, Bristol, United Kingdom

    Marcus J. Drake

  4. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA

    Roger R. Dmochowski

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Dmochowski, R.R., Gomelsky, A. (2014). The Impact of Neurologic Insult on the Lower Urinary Tract. In: Wein, A., Andersson, KE., Drake, M., Dmochowski, R. (eds) Bladder Dysfunction in the Adult. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0853-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-0853-0_3

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-0852-3

  • Online ISBN: 978-1-4939-0853-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation