Abstract
Voiding dysfunctions often occur after various disabilities such as stroke, multiple sclerosis, and spinal cord injury. Pharmacologic treatments can be effective as primary treatment or to augment nonpharmacologie management strategies. There are several important keys to effective neurourologic pharmacologic management. Potentially reversible causes of voiding dysfunction such as stool impaction or urinary tract infections should be investigated and treated. The type of voiding dysfunction needs to be clearly defined. This will usually require a urodynamic evaluation. An understanding of the normal neurophysiology of voiding is important. It is also essential to know the indications, benefits, limitations, and adverse effects of various pharmacologic agents in treating voiding dysfunction.
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