Patients with primary neurologic conditions often experience urinary and bowel dysfunction due to loss of sensory and/or motor control. Neurogenic bowel dysfunction is frequently characterized by both constipation and fecal incontinence. In general, the management of neurogenic bowel dysfunction has been less well studied than bladder dysfunction despite their close association.. It is widely accepted that establishment of a multifaceted bowel regimen is the cornerstone of conservative management. Continuing assessment is necessary to determine need for more invasive interventions. In the clinical setting, the Urologist may be the principle provider addressing bowel concerns in addition to bladder dysfunction, and furthermore, treatment of one often impacts the other. Future directions should include development of follow up and management guidelines that address the comprehensive care of this patient population.
Current bladder dysfunction reports. 2016 Oct 20 [Epub]
Laura Martinez, Leila Neshatian, Rose Khavari
Houston Methodist Hospital, Department of Urology, 6560 Fannin, Suite 2100, Houston, Texas 77030, USA., Houston Methodist Hospital, Division of Gastroenterology and Hepatology, 6550 Fannin St. Suite 1201, Houston, TX, 77030, USA., Houston Methodist Hospital, Department of Urology, 6560 Fannin, Suite 2100, Houston, Texas 77030, USA,.