A Primary Care Provider’s Guide to Management of Neurogenic Lower Urinary Tract Dysfunction and Urinary Tract Infection After Spinal Cord Injury

Author:

Milligan James12,Goetz Lance L.34,Kennelly Michael J.56

Affiliation:

1. The Centre for Family Medicine, Kitchener, Ontario, Canada

2. McMaster University Department of Family Medicine, Hamilton, Ontario, Canada

3. Department of Veterans Affairs, Hunter Holmes McGuire VA Medical Center, Richmond, Virginia

4. Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia

5. Carolinas Rehabilitation, Charlotte, North Carolina

6. Atrium Health, Charlotte, North Carolina

Abstract

Neurogenic lower urinary tract dysfunction (NLUTD), previously termed neurogenic bladder dysfunction, is a common secondary complication of spinal cord injury (SCI). It is associated with significant morbidity, reduced quality of life, increased health care costs, and mortality. Primary care providers (PCPs) play an important role in optimizing urohealth over the life span. This article will review NLUTD in SCI, its complication, surveillance, and management. PCPs should be aware of SCI-related NLUTD, its complications, management, and surveillance recommendations, and when to refer to a specialist.

Publisher

American Spinal Injury Association

Subject

Clinical Neurology,Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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