Queißert Fabian, Brücher Benedict
Klinik für Urologie und Kinderurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland.
Urologie. 2023 Sep;62(9):965-975. doi: 10.1007/s00120-023-02168-4. Epub 2023 Aug 18.
In addition to the classical neurourological diseases multiple sclerosis and paraplegia/spina bifida, there are many and also widely spread diseases of the neurological spectrum that can result in significant dysfunctions of the urinary tract. Depending on the location (cerebral/suprapontine, spinal/suprasacral, spinal infrasacral and peripheral), different disorders can result (detrusor overactivity and underactivity, sphincter dyssynergia and low compliance). Changes can also occur over the course of an illness and thus make the analysis of the respective disorder even more difficult. Not all patients present directly to a neurourological center and in some cases the connection is not directly apparent. Firstly, this article focuses on the urological relevance of the respective neurological disease. Secondly, the basic neurourological information should support the initial assessment of the disorder.
除了典型的神经泌尿疾病——多发性硬化症和截瘫/脊柱裂之外，还有许多广泛传播的神经谱系疾病，这些疾病可导致泌尿系统的严重功能障碍。根据病变位置（大脑/脑桥上、脊髓/骶上、脊髓骶下和周围），会出现不同的病症（逼尿肌过度活动和活动不足、括约肌协同失调和顺应性降低）。疾病过程中也可能发生变化，从而使对各自病症的分析更加困难。并非所有患者都直接前往神经泌尿中心就诊，在某些情况下，这种联系并不直接明显。首先，本文重点关注各自神经疾病的泌尿学相关性。其次，基本的神经泌尿学信息应有助于对病症的初步评估。
