Work

Neurogenic Lower Urinary Tract Dysfunction (NLUTD) in Female Patients: A Comprehensive Clinical Review

Year: 2026

Type: article

Abstract: Purpose of review This article reviews the latest American Urological Association (AUA)/Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) guidelines on neurogenic lower urinary tract dysfunction (NLUTD), with a specific focus on implications for obstetricians and gynecologists. It aims to provide a clinically relevant synthesis for OB/GYNs managing women with neurogenic bladder conditions. Recent findings Recent evidence emphasizes stratified risk assessment, clean intermittent catheterization (CIC) as a protective standard, and early identification of high-risk features such as poor bladder compliance and detrusor-sphincter dyssynergia. New insights also highlight obstetric complications, autonomic dysreflexia, and the utility of neuromodulation and botulinum toxin in selected patients. Summary Effective multidisciplinary care for women with NLUTD requires familiarity with current guidelines. OB/GYNs play a vital role in pregnancy counseling, perioperative care, and bladder health maintenance. Integration of urologic principles into gynecologic practice can improve patient outcomes, reduce complications, and support reproductive goals in this population.

Source: Current Obstetrics and Gynecology Reports

DOI: 10.1007/s13669-026-00466-0

Authors: María P. Molina, Evgeniy I. Kreydin

Institution: Rancho Los Amigos National Rehabilitation Center

Language: English

Topic: Urinary Bladder and Prostate Research

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,490