Efectos de las lesiones del sistema nervioso sobre la fisiología de la micción

Neurogenic dysfunction of the lower urinary tract encompasses a wide variety of disorders, which are characterized by a dysfunction of the urination physiology. In many times the diagnosis of this type of pathologies is usually not so easy, and the urinary tract dysfunction can be diagnosed first and secondarily find the diagnosis of the neurological disorder that causes it. All these disorders end up seriously affecting the quality of life of these patients, due to their own complications and the complications derived from the condition. Some of the associated complications are recurrent urinary tract infections, urinary incontinence and bladder emptying dysfunction, urethral stricture and progressive kidney disease with irreversible damage. The location of the neurological lesion does not always determine the type of inferior urinary dysfunction. The objective of this review is to expose the different neurological alterations according to the SALE classification and describe how they affect the physiology of urination.