Abstract：
OBJECTIVE: Most patients with neurourological disorders require lifelong medical care. The European Association of Urology (EAU) regularly updates guidelines for diagnosis and treatment of these patients. The objective of this review is to provide a summary of the 2024 updated EAU guidelines on neurourology.
METHODS: A structured literature review covering the timeframe 2021-2023 was conducted for the guideline update. A level of evidence and a strength rating were assigned for each recommendation on the basis of the literature data.
UNASSIGNED: Neurological conditions significantly affect urinary, sexual, and bowel function, and lifelong management is required for neurourological patients to maintain their quality of life and prevent urinary tract deterioration. Early diagnosis and effective treatment are key, and comprehensive clinical assessments, including urodynamics, are crucial. Management should be customised to individual needs and should involve a multidisciplinary approach and address sexuality and fertility. Lifelong monitoring and follow-up highlight the importance of continuous care for neurourological patients.
CONCLUSIONS: The 2024 EAU guidelines on neurourology provide an up-to-date overview of available evidence on diagnosis, treatment, and follow-up for neurourological patients.
RESULTS: Neurological disorders very frequently affect the lower urinary tract and sexual and bowel function and patients need lifelong management. We summarise the updated European Association of Urology guidelines on neurourology to provide patients and caregivers with the latest insights for optimal health care support.
METHODS: A structured literature review covering the timeframe 2021-2023 was conducted for the guideline update. A level of evidence and a strength rating were assigned for each recommendation on the basis of the literature data.
UNASSIGNED: Neurological conditions significantly affect urinary, sexual, and bowel function, and lifelong management is required for neurourological patients to maintain their quality of life and prevent urinary tract deterioration. Early diagnosis and effective treatment are key, and comprehensive clinical assessments, including urodynamics, are crucial. Management should be customised to individual needs and should involve a multidisciplinary approach and address sexuality and fertility. Lifelong monitoring and follow-up highlight the importance of continuous care for neurourological patients.
CONCLUSIONS: The 2024 EAU guidelines on neurourology provide an up-to-date overview of available evidence on diagnosis, treatment, and follow-up for neurourological patients.
RESULTS: Neurological disorders very frequently affect the lower urinary tract and sexual and bowel function and patients need lifelong management. We summarise the updated European Association of Urology guidelines on neurourology to provide patients and caregivers with the latest insights for optimal health care support.
摘要：
目的：大多数神经疾病患者需要终身医疗。欧洲泌尿外科协会（EAU）定期更新这些患者的诊断和治疗指南。本综述的目的是提供2024年更新的EAU神经学指南的摘要。
方法：针对指南更新进行了涵盖2021-2023年时间段的结构化文献综述。根据文献数据为每个建议分配了证据水平和强度等级。
■神经系统疾病显著影响泌尿，性,和肠道功能，并且需要对神经科患者进行终身管理，以维持他们的生活质量并防止尿路恶化。早期诊断和有效治疗是关键,和全面的临床评估，包括尿动力学,是至关重要的。管理应根据个人需求进行定制，并应采用多学科方法，并解决性行为和生育问题。终身监测和随访强调了对神经科患者进行持续护理的重要性。
结论：2024EAU神经病理学指南提供了最新的诊断证据概述，治疗,以及对神经科患者的随访。
结果：神经系统疾病经常影响下尿路、性功能和肠道功能，患者需要终身治疗。我们总结了最新的欧洲泌尿外科协会关于泌尿外科的指南，为患者和护理人员提供最佳医疗保健支持的最新见解。
方法：针对指南更新进行了涵盖2021-2023年时间段的结构化文献综述。根据文献数据为每个建议分配了证据水平和强度等级。
■神经系统疾病显著影响泌尿，性,和肠道功能，并且需要对神经科患者进行终身管理，以维持他们的生活质量并防止尿路恶化。早期诊断和有效治疗是关键,和全面的临床评估，包括尿动力学,是至关重要的。管理应根据个人需求进行定制，并应采用多学科方法，并解决性行为和生育问题。终身监测和随访强调了对神经科患者进行持续护理的重要性。
结论：2024EAU神经病理学指南提供了最新的诊断证据概述，治疗,以及对神经科患者的随访。
结果：神经系统疾病经常影响下尿路、性功能和肠道功能，患者需要终身治疗。我们总结了最新的欧洲泌尿外科协会关于泌尿外科的指南，为患者和护理人员提供最佳医疗保健支持的最新见解。
