2021 年 38 巻 3 号 p. 196-200
The clinical outcomes of neurogenic lower urinary tract dysfunction are improvement as well as prevention of urinary tract complications (renal impairment, symptomatic urinary tract infection and so on), attainment of social urinary continence, and improvement as well as maintenance of quality of life. To this end, appropriate urinary management that maintains low pressure in lower urinary tract throughout the storage as well as emptying phase plays a pivotal role in achieving these clinical outcomes. When outcomes are not achieved despite appropriate urinary management with or without pharmacotherapy, adjustments to urinary management including pharmacotherapy and/or surgical therapy should be considered.
