The clinician treating patients with neurogenic lower urinary tract dysfunction (NLUTD) needs to balance a variety of factors when making treatment decisions. In addition to the patient's urologic symptoms and urodynamic findings, other issues that may influence management options of the lower urinary tract include cognition, hand function, type of neurologic disease, mobility, bowel function/management, and social and caregiver support. This Guideline allows the clinician to understand the options available to treat patients, understand the findings that can be seen in NLUTD, and appreciate which options are best for each individual patient. This allows for decisions to be made with the patient, in a shared decision-making manner, such that the patient's quality of life can be optimized with respect to their bladder management.

中文翻译：

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成人神经源性下尿路功能障碍的 AUA/SUFU 指南：诊断和评估。

治疗神经源性下尿路功能障碍 (NLUTD) 患者的临床医生在做出治疗决定时需要权衡各种因素。除了患者的泌尿系统症状和尿动力学检查结果外，其他可能影响下尿路管理选择的问题包括认知、手部功能、神经系统疾病的类型、活动能力、肠道功能/管理以及社会和护理人员的支持。本指南允许临床医生了解可用于治疗患者的选择，了解在 NLUTD 中可以看到的发现，并了解哪些选择最适合每个患者。这允许以共享的决策方式与患者一起做出决策，从而可以在膀胱管理方面优化患者的生活质量。