Kaufmann A, Kurze I
Zentrum für Kontinenz und Neuro-Urologie, Kliniken Maria Hilf GmbH, Mönchengladbach, Viersener Straße 450, 41063 Mönchengladbach, Deutschland.
Urologe A. 2012 Feb;51(2):168-78. doi: 10.1007/s00120-011-2784-3.
Patients with congenital and acquired neurogenic bladder dysfunction due to central and peripheral nervous lesions are significantly limited in their daily lives. The neurogenic dysfunction of the bladder and lower urinary tract are often misinterpreted and later fed to a diagnosis. Without therapy severe complications, including renal damage, could be the consequence in the follow up. Therefore, dedicated diagnostics have to be done to recognize the different disorders and to determine the specific therapy. For these patients a lifelong bladder monitoring and neuro-urological management is necessary. This article describes techniques of neuro-urological testings and the interpretation in case of neurogenic disorders.
由于中枢和周围神经病变导致先天性和后天性神经源性膀胱功能障碍的患者在日常生活中受到极大限制。膀胱和下尿路的神经源性功能障碍常常被误解,随后才得以确诊。若不进行治疗,后续可能会导致包括肾损伤在内的严重并发症。因此,必须进行专门的诊断以识别不同的病症并确定具体的治疗方法。对于这些患者而言,终身膀胱监测和神经泌尿学管理是必要的。本文介绍了神经泌尿学检测技术以及神经源性疾病的解读方法。