1. [Spanish consensus document for the diagnosis, treatment and management of neurogenic bladder.]
- Author
-
Vidal Samsó J, Esteban Fuertes M, Alcaraz Rousselet MÁ, Alemán Sánchez CM, Almuiña Díaz C, Ariza Lahuerta JC, Blanco Vivo A, Carrión Pérez F, Casar García J, Cuadrado Rebollares M, De la Marta García MF, Del Pino Santana León A, Garrán Díaz M, Gil Agudo ÁM, Giner Pascual M, Grao Castellote C, Jariod Gaudes R, Jáuregui Abrisqueta ML, León Álvarez N, López Llano ML, Montoto Marqués A, Moreno Linares M, Navés Prujá A, Núñez Angulo MI, Ocaña Fernández C, Rojas Cuotto KP, Sánchez Pérez P, Torralba Collados F, Veras Cosmo R, and García Obrero I
- Subjects
- Consensus, Humans, Quality of Life, Spain, Urinary Bladder, Neurogenic diagnosis, Urinary Bladder, Neurogenic therapy
- Abstract
Objectives: The purpose of this document is to establish practical recommendations on neurogenic bladder (NB) management based on scientific evidence and medical and nursing perspective in Spinal Cord Injury (SCI) Units as a first multidisciplinary consensual approach in Spain. METHODS: This paper reports results from the first modified Delphi consensus building exercise on this procedure. A committee of recognised opinion-leaders in rehabilitation and urology with special interest in NB was constituted. A working group formed by rehabilitation doctors, urologists and nursing staff of SCI and Neurorehabilitation Units of a number of Spanish hospitals and specialised centres associated with the panel of NB experts have prepared this document. RESULTS: This review provided an overview of the main aspects described by the different clinical guidelines already available and highlighted the need to focus on recommendations in special priority situations in which there was no consensus. In view of the considerable impact this condition has on quality of life, patients should be offered help to better understand the disorder and they should be taught how to use the treatment techniques to obtain satisfactory results and promote their autonomy. CONCLUSIONS: This article presents a version of guidelines for patients with NB. The guidelines define the clinical profile of patients to provide the best evidence- based care and also an overview of the current drug and surgical treatments of NB.
- Published
- 2019