Ochoa Diana Carolina, Mahoney Alessia Christina, Fontaine Christina, Hashim Hashim
Department of Bristol Urological Institute, Southmead Hospital, Bristol, UK.
Cardiff University School of Medicine, Cardiff, UK.
Urol Res Pract. 2024 Mar 31;50(2):139-47. doi: 10.5152/tud.2024.23232.
Neurogenic lower urinary tract dysfunction (NLUTD) encompasses a broad spectrum of neurological conditions affecting the lower urinary tract. Managing NLUTD requires a tailored approach focused on preserving kidney function and enhancing patients' quality of life. Clinical guidelines provide valuable guidance for healthcare professionals, but discrepancies in recommendations arise among other factors due to limited high-quality clinical evidence. Prominent guidelines from organisations like the International Consultation of Incontinence, the European Association of Urology, the American Urological Association, and the National Institute for Health and Care Excellence offer varying recommendations for NLUTD management. This study reviews and summarizes the recommendations for conservative, pharmacological, and surgical management options across these guidelines. Cite this article as: Ochoa DC, Mahoney AC. Fontaine C, Hashim H. Guidelines of guidelines: conservative, pharmacological, and surgical management for neurogenic lower urinary tract dysfunction (NLUTD). Urol Res Pract. Published online March 31, 2024. doi: 10.5152/tud.2024.23232.
神经源性下尿路功能障碍（NLUTD）涵盖了一系列影响下尿路的神经系统疾病。管理NLUTD需要一种量身定制的方法，重点是保护肾功能并提高患者的生活质量。临床指南为医疗保健专业人员提供了有价值的指导，但由于高质量临床证据有限等因素，建议之间存在差异。来自尿失禁国际咨询委员会、欧洲泌尿外科学会、美国泌尿外科学会和英国国家卫生与临床优化研究所等组织的著名指南对NLUTD管理提出了不同的建议。本研究回顾并总结了这些指南中关于保守、药物和手术管理选项的建议。引用本文：奥乔亚DC，马奥尼AC。方丹C，哈希姆H。指南中的指南：神经源性下尿路功能障碍（NLUTD）的保守、药物和手术管理。《泌尿外科研究实践》。2024年3月31日在线发表。doi:10.5152/tud.2024.23232
