Diagnosis and Management of LUTS in MS, PD, and Spinal Injuries_OnDemand-Diagnosis and Management of LUTS in MS, PD, and Spinal Injuries

Video Transcription

Video Summary

In the "Oggs Urogynecology Webinar" hosted by Dr. Taji Yazdani, the focus was on diagnosing and managing lower urinary tract symptoms (LUTs) in patients with conditions such as Multiple Sclerosis (MS), Parkinson's, and Spinal Cord Injury. The speaker, Dr. Jahar Santiago-Lastra from UC San Diego Health Women's Pelvic Medicine Center, highlighted the importance of early recognition and treatment of neurogenic lower urinary tract dysfunction (NLUTD) as it can adversely affect quality of life and long-term health. <br /><br />The webinar explored various conditions caused by neurogenic disorders and stressed the importance of evaluating bladder compliance, storage, and emptying functionality through history, exams, and imaging. Key treatments discussed included neuromodulation, bladder augmentation, and urinary diversification. Dr. Santiago-Lastra underlined the significance of determining whether patients are at low, moderate, or high risk for complications to guide appropriate surveillance and interventions. <br /><br />The session also covered the potential life-threatening complication of autonomic dysreflexia in patients with spinal lesions, emphasizing the need for careful management of bladder studies and procedures. Dr. Santiago-Lastra provided insights through case studies, highlighting the treatment approaches based on urodynamic findings. The talk concluded with a focus on shared decision-making tailored to patient needs and clinical findings.

Keywords

Oggs Urogynecology Webinar

lower urinary tract symptoms

neurogenic lower urinary tract dysfunction

Multiple Sclerosis

Parkinson's

Spinal Cord Injury

autonomic dysreflexia

bladder compliance

neuromodulation