- Health care professionals should maintain a high suspicion for underlying neurologic conditions in patients with lower urinary tract symptoms.
- Various neurologic conditions can manifest as lower urinary tract symptoms before other neurologic signs become apparent.
- Early diagnosis and increased awareness of these conditions are crucial for improving prognosis and outcomes.
- Concern exists regarding missed diagnosis of congenital and pediatric-acquired neurogenic conditions.
- Spinal dysraphism may become evident only with the emergence of symptoms from cord tethering.
- Comprehensive assessment should include consideration of bowel and sexual dysfunction alongside lower urinary tract symptoms.
- The physical examination is crucial, with comprehensive testing of the pelvic floor and anal sphincter deemed necessary.
- Research is needed to evaluate the value of neuro-urological examination and to develop a screening tool or risk scoring.
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