Neurology

Patients with neurological disease including MS, Parkinsons, stroke and spinal cord injury can develop significant urological problems. This includes problems with bladder management, incontinence and recurrent urinary tract infections.

In 2025 NHS England published some guidance stating that most neuro urological conditions can be managed in all urology centres. This includes:

• Determining whether the bladder is safe of unsafe (unsafe = prolonged high pressures risking renal damage, usually secondary to DSD or poor compliance with elevated detrusor leak point pressures). Determining bladder safety helps to determine treatment and surveillance protocols;
   
• Investigating and managing the following:
  • Recurrent UTI’s or haematuria
  • LUTS and incontinence
  • Bowel dysfunction
  • Sexual dysfunction

However, there are certain complex neuro urological conditions particularly patients with spinal injury or spina bifida that will need more specialist urological care. Spinal injuries specialist urology is usually embedded in the spinal injuries’ centres

GIRFT Improving functional reconstructive urology and urogynaecology service delivery - February 2025
 

This website offers further information for the urological management of neurological conditions.

Information sheets

Guidance resources