Methods: A structured literature review covering the timeframe 2021-2023 was conducted for the guideline update. A level of evidence and a strength rating were assigned for each recommendation on the basis of the literature data.
Key findings and limitations: Neurological conditions significantly affect urinary, sexual, and bowel function, and lifelong management is required for neurourological patients to maintain their quality of life and prevent urinary tract deterioration. Early diagnosis and effective treatment are key, and comprehensive clinical assessments, including urodynamics, are crucial. Management should be customised to individual needs and should involve a multidisciplinary approach and address sexuality and fertility. Lifelong monitoring and follow-up highlight the importance of continuous care for neurourological patients.
Conclusions and clinical implications: The 2024 EAU guidelines on neurourology provide an up-to-date overview of available evidence on diagnosis, treatment, and follow-up for neurourological patients.
Patient summary: Neurological disorders very frequently affect the lower urinary tract and sexual and bowel function and patients need lifelong management. We summarise the updated European Association of Urology guidelines on neurourology to provide patients and caregivers with the latest insights for optimal health care support.
Andrea M Sartori,1 Thomas M Kessler,2 David M Castro-Díaz,3 Peter de Keijzer,4 Giulio Del Popolo,5 Hazel Ecclestone,6 Dennis Frings,7 Jan Groen,7 Rizwan Hamid,8 Gilles Karsenty,9 Stefania Musco,5 Bárbara Padilla-Fernández,3 Jürgen Pannek,10 Natasha Schouten,4 Angela van der Vorm,4 Bertil F M Blok7
- Department of Neuro-Urology, Balgrist University Hospital, University of Zürich, Zürich, Switzerland; Harvard Medical School, Boston, MA, USA; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
- Department of Neuro-Urology, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.
- Department of Urology, Complejo Hospitalario Universitario de Canarias, Universidad de La Laguna, Tenerife, Spain.
- European Association of Urology Guidelines Office, Arnhem, The Netherlands.
- Department of Neuro-urology, Careggi University Hospital, Florence, Italy.
- Taranaki District Health Board, New Plymouth, New Zealand.
- Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands.
- Department of Neuro-Urology, London Spinal Injuries Centre, Stanmore, UK.
- Department of Urology, Aix Marseille University, Marseille, France.
- Neuro-Urology Department, Swiss Paraplegic Center, Nottwil, Switzerland; Department of Urology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.