Urogynecology and Gynecological Perioperative Care Sector From Federal University of Uberlândia, Av Amazonas, 1595, Campus Umuarama, Uberlândia, Minas Gerais, 38411000, Brazil.
Reprod Sci. 2023 Jul;30(7):2087-2091. doi: 10.1007/s43032-023-01213-z. Epub 2023 Mar 27.
The scenario of the patient with neuropathies, which are related to urinary disorders, impacts the quality of life. Symptoms can lead to social isolation, impair activities of daily living, and shorten life expectancy. This study aims to make a practical and integrative review of current recommendations for the urogynecological approach of patients with neuropathy and urinary dysfunction.
The authors searched for data on combinations of the terms "lower urinary tract symptoms" AND "neurogenic voiding dysfunction" from January 2012 to January 2022 in the following scientific databases: PUBMED, MEDLINE, EMBASE, and The Cochrane Library.
randomized clinical trials, protocols from specialized societies and articles before that period, and according to clinical relevance.
case series or reports, expert opinions not endorsed by medical societies in the area.
From the 25 studies mentioned, 09 studies were selected according to pre-established criteria and qualitative analysis of relevance. The authors add 2 references for relevance in the area of urogynecology and neurological diseases. According to the selected scientific references, the main neuropathies that can cause urinary dysfunction are CNS injuries such as stroke, spinal cord injury, meningomyelocele, and amyotrophic lateral sclerosis. Ten steps below were compiled to facilitate the gynecological approach, according to the researched literature.
It is important for the medical assistant to pay close attention to careful anamnesis and post-emptying urinary residual volume. The treatment in general addresses greater fluid intake, maneuvers to favor bladder emptying, medications, and/or intermittent self-catheterization. The approach of a multidisciplinary team can make a difference in the patient's prognosis and quality of life.
与排尿障碍相关的神经病变患者的情况会影响生活质量。症状会导致社交孤立、影响日常生活活动，并缩短预期寿命。本研究旨在对目前神经源性排尿功能障碍患者的尿控处理方法的建议进行实用和综合的综述。
作者在以下科学数据库中搜索了 2012 年 1 月至 2022 年 1 月期间与“下尿路症状”和“神经源性排尿功能障碍”相关的术语组合的数据：PUBMED、MEDLINE、EMBASE 和 Cochrane Library。
随机临床试验、专业协会的方案以及在此之前的相关文章。
病例系列或报告、未经该领域医学协会认可的专家意见。
在所提到的 25 项研究中，根据预先设定的标准和相关性的定性分析，有 09 项研究被选中。作者还添加了 2 篇与神经科疾病相关的尿控领域的相关性文献。根据所选的科学文献，可引起排尿功能障碍的主要神经病变是 CNS 损伤，如中风、脊髓损伤、脑脊膜膨出和肌萎缩侧索硬化症。根据研究文献，编译了 10 个便于妇科处理的步骤。
医疗助理应密切关注详细的病史和排空后残余尿量。一般治疗方法是增加液体摄入、有利于膀胱排空的手法、药物治疗，和/或间歇性自我导尿。多学科团队的治疗方法可以改善患者的预后和生活质量。
