Long-term neurogenic lower urinary tract dysfunction: A case of cardiovascular nightmares.
Amanda H X LeeAndrea L RamirezAndrei V KrassioukovMatthias WalterPublished in: The journal of spinal cord medicine (2019)
This case raises awareness of serious considerations when treating NDO-related AD in individuals with longstanding neurogenic LUT dysfunction and compromised dexterity following SCI. Given the limited improvement in LUT function and persisting bladder-related AD following treatment, urinary diversion as advocated in the wider literature should be considered to protect an individual's urinary tract from further deterioration and thus eliminate bladder-related AD consequences long-term. Early treatment and management of NDO and AD is crucial to minimize complications associated with these two major health risks in this population.