{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:05:51Z","timestamp":1791893151320,"version":"4.3.4"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2021,1]]},"abstract":"Abstract<\/jats:title>\n \n Aims<\/jats:title>\n Transverse myelitis (TM) is an inflammation of the spinal cord which causes neurological deficit in motor, sensory, and autonomic pathways. Persistent neurogenic lower urinary tract dysfunction (NLUTD) is common even where motor and sensory impairment is recovered. Long term follow\u2010up is required to ensure optimal bladder management and protection of the upper tracts. We describe the clinical outcomes for a cohort of patients with TM who have received neurourological follow\u2010up in a specialist center.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective review of TM patient records was performed. Current pharmaceutical and surgical management, upper tract status, and patient reported symptoms are reported. Changes in urodynamic parameters and bladder emptying technique between current and baseline were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Sixty patients with NLUTD following TM were identified. The mean age at onset of NLUTD was 29 years (0\u201377 years). The mean follow\u2010up was 13 years. 55% of patients were taking antimuscarinic medication, 53% of patients had intradetrusor botulinum toxin injections and 5% had bladder augmentation surgery. Forty\u2010one patients had a baseline and recent urodynamic study which could be compared. Fifty\u2010three of fifty\u2010eight patients with a recent renal ultrasound had normal renal appearance. Four had mild hydronephrosis and one more extensive hydronephrosis.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n TM can have a persistent effect on lower urinary tract function. There is potential for upper tract damage if bladder management is not optimized. We have demonstrated that in a specialist neurourology unit within a tertiary center, one can provide acceptable long term outcomes following international guidelines.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nau.24537","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T10:03:31Z","timestamp":1603706611000},"page":"219-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A retrospective review of the long term clinical outcomes of patients with neurogenic lower urinary tract dysfunction following transverse myelitis"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-2081","authenticated-orcid":false,"given":"Sarah Louise","family":"Knight","sequence":"first","affiliation":[{"name":"Division of Surgery and Interventional Science University College London London WC1E 6BT"},{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Riley","sequence":"additional","affiliation":[{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogit","family":"Wagh","sequence":"additional","affiliation":[{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Lee","sequence":"additional","affiliation":[{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Shah","sequence":"additional","affiliation":[{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2302-1344","authenticated-orcid":false,"given":"Rizwan","family":"Hamid","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Science University College London London WC1E 6BT"},{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital Stanmore 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