Fiona C. Burkhard, MD, presented “Management of Neurogenic Lower Urinary Tract Dysfunction: Surgical Options with Reference to the Guidelines” during the 43rd Annual Ralph E. Hopkins Urology Seminar on January 31, 2024, in Jackson Hole, Wyoming.
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How to cite: Burkhard, Fiona C. “Management of Neurogenic Lower Urinary Tract Dysfunction: Surgical Options with Reference to the Guidelines.” January 31, 2024. Accessed Nov 2025. https://grandroundsinurology.com/management-of-neurogenic-lower-urinary-tract-dysfunction-surgical-options-with-reference-to-the-guidelines/
Management of Neurogenic Lower Urinary Tract Dysfunction: Surgical Options with Reference to the Guidelines – Summary
Fiona C. Burkhard, MD, discusses the surgical management of neurogenic lower urinary tract dysfunction (NLUTD). Dr. Burkhard begins with an overview of the prevalence of NLUTD, its patterns related to spinal cord injury (SCI), and treatment goals. She summarizes guidelines from the European Association of Urology (EAU), the American Urological Association (AUA), and the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) regarding the surgical management of NLUTD.
Dr. Burkhard then describes clam ileocystoplasty, and shares data on the procedures’ success in stabilizing renal function and preventing anatomical deterioration. She cautions that lifelong follow-up is essential. Dr. Burkhard shares quality-of-life (QoL) data showing improvement after augmentation.
She addresses additional EAU, AUA, and SUFU guidelines on urinary diversion before highlighting data on sex differences in bladder management, symptoms, and satisfaction after SCI. Dr. Burkhard addresses reflux prevention, bladder outlet, and catheterization issues.
Dr. Burkhard summarizes her lecture by emphasizing that, while variations exist in the grading of recommendations, overall recommendations for treatment are similar across guidelines. She reiterates the importance of the patient’s perspective and lifelong follow-up in highlighting the advantages of surgical management.
About The 43rd Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 43rd iteration of the meeting took place from January 31st to February 2nd, 2024, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Fiona C. Burkhard, MD, is Chairwoman for Female Urology, Reconstructive Urology and Neurourology and Extraordinaria Ad Personam for Functional Urology at Bern University in Switzerland. Dr. Burkhard’s research interests include neuro-urology, bladder reconstruction, urodynamics, incontinence, and molecular mechanisms of the lower urinary tract. In collaboration with Prof. K. Monastyrskaia and funded by the Swiss National Science Foundation, her research over the past decade has focused on the molecular mechanisms of bladder dysfunction and potential clinical application.
