Lower urinary tract symptoms following neurological illness may be influenced by multiple factors: Observations from a neurorehabilitation service in a developing country

Panicker, Jalesh N.; Menon, Lakshmi; Anandkumar, Anima; Sundaram, K. R.; Fowler, Clare J.

doi:10.1002/nau.20750

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Second, we must take into account that LUTS following neurological illness may be influenced by multiple factors. For example, the incidence and prevalence of LUTS may rise with increasing progression of the underlying neurological disease ( 9) but also may vary due to the pattern expected based upon type of neurological lesion (10). Moreover, attention should be paid to concomitant urological conditions, benign prostatic hyperplasia (BPH), idiopathic overactive bladder (OAB), urinary infection; such urological conditions are common in aging patients (11).…”

Section: Discussionmentioning

confidence: 99%

Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service

Torelli

Terragni

Blanco

et al. 2015

Arch Ital Urol Androl

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Neurological disorders are a significant issue in rehabilitation services and it can lead to lower tract dysfunction, which causes LUTS. Storage symptoms are more common, especially urge incontinence. Current literature reports that a further optimization of the rehabilitation potential of neurologically ill patients is possible through an implementation of urological basic measures into the neurological treatment routine.

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Section: Discussionmentioning

confidence: 99%

Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service

Torelli

Terragni

Blanco

et al. 2015

Arch Ital Urol Androl

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“…The most frequent specific urinary symptom in this study was urge incontinence, observed in 31 [70.4%] of all patients. Panicker et al [9] found that incontinence is a common, yet non-specific symptom of neurogenic lower urinary tract dysfunction and in their study was more common in subjects with suprapontine, infrapontine and suprasacral lesions.…”

Section: Resultsmentioning

confidence: 71%

“…In this acute inflammatory spinal cord disease all sensory, motor and sphincter functions are severely affected and this shock stage accompanied by retention of urine. Panicker et al [9] found that patients with infrasacral lesions had significantly more retention than patients with suprapontine, infrapontine or suprasacral lesions [p=0.001]…”

Section: Resultsmentioning

confidence: 99%

Lower urinary tract symptoms related to neurological diseases in Egyptian patients

Aboelsaad

Mohamed

Hindawy

2019

International Journal of Medical Arts

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Background: Lower urinary tract symptoms [LUTS] have a marked impact on the quality of life in patients with neurological ailments. They are also linked to a high risk of serious morbidities. Aim of the work: was to evaluate the LUTS associated with neurological disorders in a sample of Egyptian patients. Patients and Methods: This study conducted on 104 patients treated in our Neurology and urology clinic at Al-Azhar University hospitals from January 2018 to January 2019. Patients divided into several subgroups according to the neurological diagnosis, and the following data were collected: age, sex, irritative symptoms [frequency, urgency, and urge incontinence], obstructive symptoms [straining, slow stream, hesitancy, retention of urine], timing [before or after neurological disease], and finally evolution of symptoms either solved or persistent. Results: We studied 104 patients; 53 were females and 51 males. LUTS were found in 44 out of 104 patients [42.3%]. LUTS were more presented in patients with neurovascular, spinal cord and demyelinating disorders. Urinary urge incontinence was the most common symptom [70.4%]. It was found to be predominant in the neurovascular and demyelinating diseases. In 30 out 44 subjects, the urinary symptoms persist, in 14 out of them the urinary problems were treated. Conclusions: Storage symptoms are more common, mostly urge urinary incontinence. Neurovascular diseases, spinal cord, and demyelinating diseases are the most common neurological disorders associated with LUTS. A multidisciplinary method should be encouraged for the management of these patients including the whole team of rehabilitation.

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“…Two patients with LMF had measurable decreases in pain. Two patients with LM ossification were wheelchair bound, but after surgery and intensive rehabilitation were wheelchair free for at least the 4 years [724,852,853].…”

Section: Plos Onementioning

confidence: 99%

The leptomeninges as a critical organ for normal CNS development and function: First patient and public involved systematic review of arachnoiditis (chronic meningitis)

Palackdkharry¹,

Wottrich²,

Dienes³

et al. 2022

PLoS ONE

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Background & importance This patient and public-involved systematic review originally focused on arachnoiditis, a supposedly rare “iatrogenic chronic meningitis” causing permanent neurologic damage and intractable pain. We sought to prove disease existence, causation, symptoms, and inform future directions. After 63 terms for the same pathology were found, the study was renamed Diseases of the Leptomeninges (DLMs). We present results that nullify traditional clinical thinking about DLMs, answer study questions, and create a unified path forward. Methods The prospective PRISMA protocol is published at Arcsology.org. We used four platforms, 10 sources, extraction software, and critical review with ≥2 researchers at each phase. All human sources to 12/6/2020 were eligible for qualitative synthesis utilizing R. Weekly updates since cutoff strengthen conclusions. Results Included were 887/14286 sources containing 12721 DLMs patients. Pathology involves the subarachnoid space (SAS) and pia. DLMs occurred in all countries as a contributor to the top 10 causes of disability-adjusted life years lost, with communicable diseases (CDs) predominating. In the USA, the ratio of CDs to iatrogenic causes is 2.4:1, contradicting arachnoiditis literature. Spinal fusion surgery comprised 54.7% of the iatrogenic category, with rhBMP-2 resulting in 2.4x more DLMs than no use (p<0.0001). Spinal injections and neuraxial anesthesia procedures cause 1.1%, and 0.2% permanent DLMs, respectively. Syringomyelia, hydrocephalus, and arachnoid cysts are complications caused by blocked CSF flow. CNS neuron death occurs due to insufficient arterial supply from compromised vasculature and nerves traversing the SAS. Contrast MRI is currently the diagnostic test of choice. Lack of radiologist recognition is problematic. Discussion & conclusion DLMs are common. The LM clinically functions as an organ with critical CNS-sustaining roles involving the SAS-pia structure, enclosed cells, lymphatics, and biologic pathways. Cases involve all specialties. Causes are numerous, symptoms predictable, and outcomes dependent on time to treatment and extent of residual SAS damage. An international disease classification and possible treatment trials are proposed.

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Lower urinary tract symptoms following neurological illness may be influenced by multiple factors: Observations from a neurorehabilitation service in a developing country

Abstract: LUTS in neurological disease may be at variance with the pattern expected based upon level of neurological lesion. Such patients may require further evaluation and consideration should be given to concomitant urological conditions and multiaxial neurological involvement.

Cited by 7 publications

References 6 publications

Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service

Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service

Lower urinary tract symptoms related to neurological diseases in Egyptian patients

The leptomeninges as a critical organ for normal CNS development and function: First patient and public involved systematic review of arachnoiditis (chronic meningitis)

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