A 2026 update of the European Association of Urology (EAU) Guidelines on Neuro-Urology, covering diagnostic and therapeutic strategies for lower urinary tract, sexual, and reproductive dysfunction in patients with neurological conditions, informed by structured literature review and expert panel consensus.
Updated recommendations emphasise early risk stratification, urodynamic evaluation, and regular surveillance to prevent complications; conservative and pharmacological therapies remain first-line, with minimally invasive and surgical options individualised by neurological status and patient preference. Expanded guidance covers UTI management, neuromodulation, reconstructive strategies, and sexual/reproductive health.
Evidence is heterogeneous and high-level comparative data are limited for several interventions; recommendations partly rely on expert panel consensus rather than randomised controlled trials.
Prioritise upper urinary tract protection and optimise bladder dynamics through shared decision-making and multidisciplinary care. Integrate structured sexual health assessment and long-term follow-up into routine neuro-urology practice.
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