Reitz A, Hüsch T, Haferkamp A
KontinenzZentrum und NeuroUrologie, Klinik Hirslanden, Lengghalde 6, CH-8008 Zürich, Schweiz.
Urologe A. 2013 Jun;52(6):785-92. doi: 10.1007/s00120-013-3188-3.
This review highlights age-related aspects of neurogenic lower urinary tract dysfunction. The changing needs and requirements of elderly long-term paraplegics and of elderly people affected from acute spinal cord injury or neurological diseases are discussed. Complications and delayed damage in the urinary tract must be recognized in time to be treated successfully. For uro-oncological early recognition examinations and the assessment of screening parameters, disease and paralysis-associated aspects as well as the individual social situation must be considered. Urologists involved in the long-term treatment of elderly paraplegic patients should take the increased cardiovascular morbidity and mortality into consideration. If paraplegia or a neurodegenerative disease occurs in elderly persons, constellations are often present which stretch the established neurourological concepts of diagnostics, therapy and long-term care to their limits. Knowledge compiled over decades of neurourological care of younger paraplegic patients can be adapted to the needs of elderly patients and new approaches can sometimes be tried.
本综述重点介绍了神经源性下尿路功能障碍与年龄相关的方面。讨论了老年长期截瘫患者以及受急性脊髓损伤或神经疾病影响的老年人不断变化的需求。必须及时识别尿路并发症和延迟性损伤，以便成功治疗。对于泌尿肿瘤学的早期识别检查和筛查参数的评估，必须考虑疾病和瘫痪相关方面以及个体社会状况。参与老年截瘫患者长期治疗的泌尿科医生应考虑到心血管发病率和死亡率的增加。如果老年人发生截瘫或神经退行性疾病，往往会出现一些情况，将既定的神经泌尿学诊断、治疗和长期护理概念推向极限。几十年来积累的年轻截瘫患者神经泌尿护理知识可适用于老年患者的需求，有时可以尝试新的方法。
