It is widely accepted that neurogenic lower urinary tract dysfunction, when left untreated, has a natural history that has a potential for causing deterioration of renal function over time. However, certain patient profiles are at risk for this and other complications. This can be linked to their underlying neurologic disease process. Identifying risk profiles allows the provider to determine what surveillance strategies might be adopted. Risk factors for upper urinary tract deterioration include loss of bladder compliance, repeated bouts of pyelonephritis, and chronic indwelling catheterization. Other long-term complications include nephrolithiasis, refractory urinary incontinence, and malignancy.
The Urologic clinics of North America. 2017 Aug [Epub]
Unwanaobong Nseyo, Yahir Santiago-Lastra
Department of Urology, UC San Diego Health, University of California-San Diego, 200 West Arbor Drive, San Diego, CA 92103-8897, USA., Department of Urology, UC San Diego Health, University of California-San Diego, 200 West Arbor Drive, San Diego, CA 92103-8897, USA. Electronic address: .