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LUTS in the neuro-urologic patient

Presented By
Dr Lysanne Campeau , McGill University, Canada
EAU 2020
It is essential to obtain the neurological history from male lower urinary tract symptoms (LUTS) by asking patients or their partners. Urologists should perform a careful physical exam. Prior to any invasive or irreversible treatment, it is necessary to refer to a neurologist. Dr Lysanne Campeau (McGill University, Canada) held a state-of-the-art lecture on the basic neurological workup any urologist seeing a male LUTS patient should consider [1]. Key urological symptoms underlying neurological disease may be storage and voiding symptoms, erectile dysfunction, retrograde ejaculation, enuresis, loss of filling sensation, or unexplained stress urinary incontinence. Common neurological aetiologies for male LUTS can be Parkinson’s disease (PD), multiple system atrophy (MSA), or normal pressure hydrocephalus characterised by dementia, abnormal gait, and urinary incontinence. Concomitant LUTS can also be a sign of multiple sclerosis (MS), several differen...

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