Abstract

ECHAVARRIA-RESTREPO, Luis Guillermo; GALLEGO-MEJIA, Angélica; GOMEZ-LONDONO, Mauricio  and  MERINO-CORREA, Sara Catalina. Effects of nervous system injuries on the physiology of urination. CES Med. [online]. 2019, vol.33, n.3, pp.182-191. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.33.3.3.

Neurogenic dysfunction of the lower urinary tract encompasses a wide variety of disorders, which are characterized by a dysfunction of the urination physiology. In many times the diagnosis of this type of pathologies is usually not so easy, and the urinary tract dysfunc tion can be diagnosed first and secondarily find the diagnosis of the neurological disorder that causes it. All these disorders end up se riously affecting the quality of life of these patients, due to their own complications and the complications derived from the condition. Some of the associated complications are recurrent urinary tract infections, urinary incontinence and bladder emptying dysfunction, urethral stricture and progressive kidney disease with irreversible damage. The location of the neurological lesion does not always de termine the type of inferior urinary dysfunction. The objective of this review is to expose the different neurological alterations according to the SALE classification and describe how they affect the physiol ogy of urination.

Keywords : Physiology of urination; Urodynamics; Central Nervous System; SALE classification.

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