This webinar explores lower urinary tract symptoms (LUTS) in neurologic conditions, focusing on pathophysiology, diagnostics, and personalized management. Learn about the latest innovations and the role of multidisciplinary care in optimizing outcomes for patients with neurogenic LUTS.

At the end of this webinar participants will be able to: 

• Describe the mechanisms underlying LUTS in patients with multiple sclerosis, Parkinson disease, and spinal injuries, emphasizing the role of neurogenic bladder dysfunction.
• Review appropriate diagnostic tools, including urodynamic studies, imaging, and patient-reported outcome measures, to differentiate between storage, voiding, and mixed urinary symptoms.
• Develop individualized treatment plans based on the unique LUTS presentations in patients with multiple sclerosis, Parkinson disease, and spinal injuries, incorporating medical, behavioral, and surgical interventions.
• Discuss the importance of interdisciplinary teamwork, including physical therapy, neurology, and rehabilitation specialists, in optimizing outcomes for patients with neurologic LUTS.
• Evaluate the latest advances in neuromodulation, pharmacotherapy, and surgical techniques, and their application in the management of neurogenic LUTS.

Yahir Santiago-Lastra, MD, is director of UC San Diego Health's Women's Pelvic Medicine Center, which provides comprehensive and multidisciplinary care for a wide range of urogynecologic and pelvic floor dysfunctions. She specializes in diagnosing and treating a wide range of urogenital conditions in both men and women, including those caused by neurologic disorders. These include pelvic organ prolapse, urinary incontinence, voiding dysfunction, overactive bladder, neurogenic bladder, ureteral stricture, and post-prostatectomy incontinence, among other pelvic floor disorders.

Her other areas of expertise include procedures such as neuromodulation for overactive bladder, bladder augmentation and urinary diversion. She also works with patients with congenital urologic malformations who are transitioning from pediatric to adult care.

As an associate professor in the Department of Urology, Dr. Santiago-Lastra instructs medical students, residents and fellows at UC San Diego School of Medicine. In 2024, she took on the role of director of the UC San Diego Urology Residency Program. Her research interests include transitional care in patients with neurogenic bladder, sacral and peripheral neuromodulation, urinary diversion and urinary incontinence.

Dr. Santiago-Lastra completed a fellowship in female pelvic medicine and reconstructive surgery at University of Michigan Medical School and a residency in urology at Harvard Medical School, Massachusetts General Hospital, where she was selected for her clinical and leadership skills to serve as chief resident. Following her residency, Dr. Santiago-Lastra served as a clinical instructor in surgery in the Department of Urology at Harvard Medical School.

Dr. Santiago-Lastra earned her medical degree from University of Puerto Rico School of Medicine, where she graduated magna cum laude and was elected to the Alpha Omega Alpha Honor Medical Society.

She is a member of the Society of Women in Urology, the Society for Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU), and the American Urogynecologic Society (AUGS).

Dr. Santiago-Lastra was recently awarded an Academy of Clinician Scholars Faculty Development Award for her work in developing a Transition Urology Care Program for adults with congenital urologic conditions.

Outside of work, she enjoys traveling with her family and writing non-fiction. Dr. Santiago-Lastra is from San Juan, Puerto Rico and speaks Spanish and French fluently.

Moderator - Tajnoos Yazdany, MD | Harbor-UCLA Medical Center 

The American Urogynecologic Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Urogynecologic Society designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, the American Urogynecologic Society (AUGS) requires that individuals in a position to control the content of an educational activity disclose all financial relationships with ineligible companies. AUGS mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all their educational programs. Furthermore, AUGS seeks to verify that all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. AUGS is committed to providing learners with high-quality CME.

Faculty Disclosures

Yahir Santiago-Lastra does not have any relevant financial relationships to disclose.

Planner and Staff Disclosures

None of the other planners, reviewers, or AUGS staff have any relevant financial relationships to disclose.