Urodynamic findings of neurogenic bladder

Abstract

Urodynamics (UDS) is the term used to describe testing and measurements of the function of the lower urinary tract and is the only method that can objectively assess dysfunction during bladder filling, storage, and emptying. UDS is a crucial component of the urologic evaluation of patients with neurogenic lower urinary tract dysfunction (NLUTD). The Madersbacher classification system describes several NLUTD symptoms on the basis of the contraction state of the bladder and external urethral sphincter during the voiding and filling phases of UDS. The evaluation of a patient with neurogenic bladder dysfunction with UDS/VUDS provides a powerful tool in the identification of the type of lower urinary tract dysfunction which can help to direct further management.