神経疾患における下部尿路機能障害

抄録

Lower urinary tract dysfunction (LUTD) is very common in neurological disorder. It is essential to evaluate lower urinary tract symptoms (LUTS) by using questionnaire. The pattern of LUTD is determined by the site and nature of the lesion in neurological disorder. The patients with suprapontine lesion show storage dysfunction. Both storage and voiding dysfunctions are found in spinal cord lesion, whereas voiding dysfunctions are predominant in sacral and infrasacral lesion. Measurement of the post–void residual (PVR) volume is necessary for the diagnosis of voiding dysfunction. Urodynamic study is useful for the detailed examination of LUTD and may be helpful for the differential diagnosis of parkinsonism.