In a normal urogynecology practice, physicians might from time to time see patients with underlying neurologic diseases. These women may present to the clinic with symptoms of lower urinary tract dysfunction including incontinence, incomplete bladder emptying or recurrent bladder infections. It is important to have a basic knowledge of possible underlying neurological conditions that might cause these symptoms. It is not the aim of this chapter to include all neurologic conditions and give a complete overview of all the possible treatment modalities. It is, however, important to understand the basic concepts and therefore a proper knowledge of the physiology and anatomy of bladder function is essential. The physician will then be able to localize the site of the lesion and adjust the treatment.
It is also important to know of treatment modalities so that the patient can have access to different options if necessary.
NLUTD (neurogenic lower urinary tract dysfunction) is a condition where diagnosis and treatment needs to be tailored to the individual patient and underlying disease. It is often the most challenging as well as the most gratifying condition to treat and care for.