Predicting Upper Urinary Tract Risk in the Neurogenic Bladder Patient

AbstractPurpose of ReviewIn this review, we explore if risk factors for developing renal deterioration can be identified in a timely fashion, thereby preventing or delaying the progression of renal injury in the neurogenic bladder patient.Recent FindingsHistorically detrusor leak point pressure (DLPP)>  40 cm H2O has been used to identify risk of upper urinary tract dysfunction (UUTD). Recent studies suggest that DLPP should not be the only decision-making parameter to predict the risk of UUTD and that patients with DLPP>  20 cm H2O should be followed closely for upper tract assessment. Furthermore, a variety of urinary biomarkers can be used markers of UUTD to guide management of neurogenic patients.SummaryUrodynamic studies represent a valuable tool in the evaluation and monitoring of urinary tract function. Multiple sources have emphasized the early identification and regular follow-up of these patients to not only have a baseline urinary tract function but also to monitor renal function and evaluate for upper tract damage.
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research