Lower Urinary Tract Symptoms Related to Neurological Diseases in Egyptian Patients

Background: Lower urinary tract symptoms [LUTS] have a marked impact on the quality of life in patients with neurological ailments. They are also linked to a high risk of serious morbidities. Aim of the work: was to evaluate the LUTS associated with neurological disorders in a sample of Egyptian patients. Patients and Methods: This study conducted on 104 patients treated in our Neurology and urology clinic at Al-Azhar University hospitals from January 2018 to January 2019. Patients divided into several subgroups according to the neurological diagnosis, and the following data were collected: age, sex, irritative symptoms [frequency, urgency, and urge incontinence], obstructive symptoms [straining, slow stream, hesitancy, retention of urine], timing [before or after neurological disease], and finally evolution of symptoms either solved or persistent. Results: We studied 104 patients; 53 were females and 51 males. LUTS were found in 44 out of 104 patients [42.3%]. LUTS were more presented in patients with neurovascular, spinal cord and demyelinating disorders. Urinary urge incontinence was the most common symptom [70.4%]. It was found to be predominant in the neurovascular and demyelinating diseases. In 30 out 44 subjects, the urinary symptoms persist, in 14 out of them the urinary problems were treated. Conclusions: Storage symptoms are more common, mostly urge urinary incontinence. Neurovascular diseases, spinal cord, and demyelinating diseases are the most common neurological disorders associated with LUTS. A multidisciplinary method should be encouraged for the management of these patients including the whole team of rehabilitation.