Document Download: Chapter 1: A neurologist's clinical and investigative approach to patients with bladder, bowel and sexual dysfunction


Neurologists encounter many patients with symptoms that may be due to disorders of sacral innervation. These are either patients with established neurological disease who commonly have complaints of urogenital dysfunction or patients of whom the question is being asked ‘‘is there a neurological basis for the patient’s complaints of bladder, sexual and sometimes bowel dysfunction?” The approach to each group is necessarily different. For those patients known to have neurological disease, it is important that the neurologist be aware of the likely problems and be familiar with management and treatment options. In those in whom there is a question as to whether or not the complaint is part of a general neurological condition, the neurologist will need to know what investigations might be contributory.

Published: 4 Dec 2007



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