How to treat neurogenic bladder and sexual dysfunction after spinal cord lesion

被引：11

作者：

Denys, P. ^{[1
,2
,3
]}

Chartier-Kastler, E. ^{[4
]}

Even, A. ^{[1
,2
,3
]}

Joussain, C. ^{[1
,2
,3
]}

机构：

[1] Hop Raymond Poincare, AP HP, Dept Phys Med & Rehabil, Neurourol & Androl Unit, 104 Blvd Raymond Poincare, F-92380 Garches, France

[2] Univ Paris Saclay, Paris, France

[3] UMR 1179 Inserm, Paris, France

[4] Paris Sorbonne Univ, Dept Urol, Hop Pitie, Paris, France

来源：

REVUE NEUROLOGIQUE | 2021年 / 177卷 / 05期

关键词：

Neurogenic bladder; Urinary tract infection; Erectile dysfunction; Spinal cord injury; SELF-CATHETERIZATION; INJURY;

D O I：

10.1016/j.neurol.2020.07.013

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Neurogenic bladder and sexual dysfunction after spinal cord lesions are highly prevalent. The treatment algorithm for neurogenic bladder is well described. Clean intermittent self-catheterisation associated with treatment of neurogenic detrusor overactivity is the gold standard. Goals of treatment are twofold: i) control risk factors to avoid upper urinary tract complications, and ii) improve quality of life by treating incontinence when feasible. Lower urinary tract dysfunction is still a major cause of complications and hospitalisation. Sexual dysfunction must be addressed and treated and is at the top of patient expectations one year after injury. (C) 2020 Elsevier Masson SAS. All rights reserved.

引用

页码：589 / 593

页数：5

共 27 条

[21] Chapter 4: Guidelines for the Diagnosis and Treatment of Overactive Bladder (OAB) and Neurogenic Detrusor Overactivity (NDO) [J].