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dc.contributor.authorRoy, HA
dc.contributor.authorNettleton, J
dc.contributor.authorBlain, C
dc.contributor.authorDalton, C
dc.contributor.authorFarhan, B
dc.contributor.authorFernandes, A
dc.contributor.authorGeorgopoulos, P
dc.contributor.authorKlepsch, S
dc.contributor.authorLavelle, J
dc.contributor.authorMartinelli, E
dc.contributor.authorPanicker, JN
dc.contributor.authorRadoja, I
dc.contributor.authorRapidi, C
dc.contributor.authorPereira e Silva, R
dc.contributor.authorTudor, K
dc.contributor.authorWagg, AS
dc.contributor.authorDrake, MJ
dc.date.accessioned2023-12-20T11:07:23Z
dc.date.available2023-12-20T11:07:23Z
dc.date.issued2020-11
dc.identifier.issn0733-2467
dc.identifier.issn1520-6777
dc.identifier.urihttps://pearl.plymouth.ac.uk/handle/10026.1/21822
dc.description.abstract

AimLower urinary tract symptoms (LUTS) are a common urological referral, which sometimes can have a neurological basis in a patient with no formally diagnosed neurological disease (“occult neurology”). Early identification and specialist input is needed to avoid bad LUTS outcomes, and to initiate suitable neurological management.MethodsThe International Continence Society established a neurological working group to consider: Which neurological conditions may include LUTS as an early feature? What diagnostic evaluations should be undertaken in the LUTS clinic? A shortlist of conditions was drawn up by expert consensus and discussed at the annual congress of the International Neurourology Society. A multidisciplinary working group then generated recommendations for identifying clinical features and management.ResultsThe relevant conditions are multiple sclerosis, multiple system atrophy, normal pressure hydrocephalus, early dementia, Parkinsonian syndromes (including early Parkinson's Disease and Multiple System Atrophy) and spinal cord disorders (including spina bifida occulta with tethered cord, and spinal stenosis). In LUTS clinics, the need is to identify additional atypical features; new onset severe LUTS (excluding infection), unusual aspects (eg, enuresis without chronic retention) or “suspicious” symptoms (eg, numbness, weakness, speech disturbance, gait disturbance, memory loss/cognitive impairment, and autonomic symptoms). Where occult neurology is suspected, healthcare professionals need to undertake early appropriate referral; central nervous system imaging booked from LUTS clinic is not recommended.ConclusionsOccult neurology is an uncommon underlying cause of LUTS, but it is essential to intervene promptly if suspected, and to establish suitable management pathways.

dc.format.extent2535-2543
dc.format.mediumPrint-Electronic
dc.languageen
dc.publisherWiley
dc.subjectincontinence
dc.subjectlower urinary tract symptoms
dc.subjectneurology
dc.subjectneurourology
dc.subjectoveractive bladder
dc.subjectoveractive bladder
dc.titleAssessment of patients with lower urinary tract symptoms where an undiagnosed neurological disease is suspected: A report from an International Continence Society consensus working group
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/32754994
plymouth.issue8
plymouth.volume39
plymouth.publisher-urlhttp://dx.doi.org/10.1002/nau.24469
plymouth.publication-statusPublished
plymouth.journalNeurourology and Urodynamics
dc.identifier.doi10.1002/nau.24469
plymouth.organisational-group|Plymouth
plymouth.organisational-group|Plymouth|Research Groups
plymouth.organisational-group|Plymouth|Faculty of Health
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA
plymouth.organisational-group|Plymouth|Users by role
plymouth.organisational-group|Plymouth|Users by role|Academics
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA|UoA01 Clinical Medicine
plymouth.organisational-group|Plymouth|Faculty of Health|Peninsula Medical School
plymouth.organisational-group|Plymouth|Research Groups|FoH - Applied Parkinson's Research
plymouth.organisational-group|Plymouth|Users by role|Researchers in ResearchFish submission
plymouth.organisational-group|Plymouth|REF 2028 Researchers by UoA
plymouth.organisational-group|Plymouth|REF 2028 Researchers by UoA|UoA01 Clinical Medicine
dc.publisher.placeUnited States
dcterms.dateAccepted2020-07-16
dc.date.updated2023-12-20T11:06:54Z
dc.rights.embargodate2023-12-21
dc.identifier.eissn1520-6777
rioxxterms.versionofrecord10.1002/nau.24469


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