Management of neurogenic bladder patients in the Netherlands: do urologists follow guidelines?

Abstract

The majority of Dutch urologists is involved in the treatment of neurogenic bladder, which suggests a less prominent role for specialized centers. Furthermore, urodynamics are not performed routinely. These observations are contrary to the recommendations of the available guidelines.

Description of Urological Surveillance and Urologic Ultrasonography Outcomes in a Cohort of Individuals with Long-Term Spinal Cord Injury

“…A higher proportion of participants receiving routine urological checkups was expected based on a survey among Dutch urologists. 19 In this survey, 84% of the urologists claimed to perform routine follow-up in patients with NLUTD every 6 or 12 months. 19 Possible explanations for this apparent discrepancy are that some participants might not have been referred to a urologist at all or that some participants may have been noncompliant with scheduled follow-up contacts.…”

“…19 In this survey, 84% of the urologists claimed to perform routine follow-up in patients with NLUTD every 6 or 12 months. 19 Possible explanations for this apparent discrepancy are that some participants might not have been referred to a urologist at all or that some participants may have been noncompliant with scheduled follow-up contacts. Factors identified as being associated with noncompliance are costs, distance, transportation, time, and the belief that follow-up was not necessary.…”

Urological Surveillance and Medical Complications after Spinal Cord Injury in the United States

“…In the Netherlands, a survey of urologists found that only 18% followed the EAU guideline frequently when treating patients with NGB, 35% occasionally and 47% not at all. Only 12% performed the recommended annual urodynamics 14 .…”

Mise en évidence des différences de gestion des vessies neurologiques existantes entre urologues et médecins spécialisés en médecine physique et de réhabilitation : enquête réalisée auprès de 383 spécialistes

“…Cette prise en charge par l'urologue ou le médecin MPR, est une spécificité française. Aux Pays-Bas et au Canada, ces patients sont pris en charge uniquement par des urologues [5,6]. Il convient d'éviter que la prise en charge des patients par deux spécialités e600 questionnaires were sent to the members of four scientific societies.…”

“…Les questions et/ou choix de réponses différaient selon les spécialistes (voir questionnaires en complément électronique). Le questionnaire a été inspiré de ceux utilisés par les urologues canadiens [6] ou néerlandais [5]. En plus des questions d'ordre général (démographie et type de pratique), le questionnaire comportait des questions sur la cause, l'organisation de la consultation, les modalités du suivi systématique, la gestion des bactériuries, des infections urinaires symptomatiques et des différents types de dysfonctions vésico-sphinctériennes d'origine neurologique.…”