NICE CG148 Management of urinary tract dysfunction in neurological disease

 In Clinical Guidelines, NICE guidelines

The urinary tract includes the urethra and bladder, and its function is to store and expel urine in a controlled manner, regulated by the central and peripheral nervous system.

Neurological damage caused by conditions such as stroke, head injury, Parkinson’s disease, dementia and multiple sclerosis can result in incontinence.

Non-neurological incontinence is covered in other NICE guidance, see CG 97 and CG 40.

Urinary incontinence can have a significant impact on quality of life. It causes embarrassment, social isolation and impairs normal activities of living.

Secondary effects from urinary incontinence may include infection (UTIs), reduced kidney function, and kidney stones.

Treatment may include surgical interventions, medication, catherisation, and the use of pads and appliances. The use of prophylactic antibiotics is not recommended.



Photo by Jens Maus ( (Own work) [Public domain], via Wikimedia Commons

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