What, Stefania, would you consider the urological clues to an underlying neurogenic condition?

Yeah, thanks for your questions.

Because, you know, many patients present with lower urinary tract symptoms, and in most cases, these are caused by common neurological conditions.

But however, we should always remember that urinary symptoms can sometimes be the early manifestation of an underlying neurological disease.

So one of the most important clues is the sudden onset or the rapid progression of symptoms.

Conditions like OAB or BOO for BPH usually develop gradually.

If instead the urgence incontinence or voiding difficulties appear unexpectedly or worsen quickly, a neurological cause should be considered.

Stefania, if this were to be a 30-year-old or a 25-year-old male for whom you are planning a bladder neck incision for primary bladder neck obstruction, in such patients, would you consider additional screening for congenital occult neurological conditions or would a clinical screening be enough?