Treatment of Neurogenic Bladder with Stress Urinary Incontinence
Patients with neurogenic lower urinary tract dysfunction (NLUTD) who also present with stress urinary incontinence (SUI) represent a specific clinical subgroup requiring a targeted management approach.
Clinical Scenario
This protocol addresses neurogenic bladder in the setting of stress urinary incontinence — a combination that narrows the range of appropriate interventions and requires careful patient counselling regarding realistic outcomes.
Treatment Approach
A procedural intervention targeting the urethra may be considered in eligible patients. The evidence base for this option carries important caveats regarding expected outcomes that clinicians must communicate to patients before proceeding. The full structured regimen specifies the indication criteria, sequencing, and counselling requirements.
References
Clinicians may offer urethral bulking agents to NLUTD patients with stress urinary incontinence but must counsel them that efficacy is modest and cure is rare.
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