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Urinary Incontinence in Neurological Disease: Management of Lower Urinary Tract Dysfunction in Neurological Disease

Urinary Incontinence in Neurological Disease: Management of Lower Urinary Tract Dysfunction in Neurological Disease

NICE Clinical Guidelines - National Clinical Guideline Centre (UK)

Version: August 2012

Treatment to prevent urinary tract infection

Damage to the neurological control system of the LUT leads to a breakdown of the normal micturition cycle so that the protective effect of low pressure storage of sterile urine and complete bladder emptying is disrupted. The patient with neurogenic lower urinary tract dysfunction (NLUTD is at increased risk of urinary tract infection (UTI) as a result of a variety of factors which include incomplete bladder emptying, vesico-ureteric reflux and the use of catheters (Esclarin De Ruz et al., 2000, Journal of Urology, 164, 1285–9).

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