Neurological Disease and LUTS

The tight regulation of lower urinary tract function by the central nervous system means that there is an extremely high likelihood of LUTS in neurological disease. The effect on the urinary tract is classified according to the location of the nervous deficit and can cause problems affecting muscle contraction (lower spinal lesions), co-ordination (upper spinal) and context (brain). Assessment needs to be detailed, covering the LUTS and other factors, along with weighing up general medical issues. Treatment aims to minimise risk of serious consequences, as well as ameliorating symptoms. Some of the most pertinent neurological conditions are stroke, MS, Parkinson’s disease and dementia.