ABSTRACT
Voiding is the culmination of a complex, exquisitely coordinated neuromuscular system under voluntary control but subsuming numerous visceral reflex arcs acting independently of volitional awareness or control.
Urine storage and emptying are active processes.
Urinary continence is maintained by anatomic support structures and neuromuscular control mechanisms.
Urodynamic testing provides manometric, neuromuscular, and perceptual information to inform the practitioner approaching a patient with voiding dysfunction.
Goals of therapy for neurogenic voiding dysfunction include preservation of renal function, adequate urinary continence, and maximum independence/ease of care.
