ABSTRACT
The modern history of guidelines began almost 30 years ago in the early 1990s. Eleven committees cover epidemiology, early neurologic and urologic care, surveillance and urologic complications, non-surgical and surgical management, fertility and sexuality, bowel management, children and aging specificities, and comparison of current and patterns of care after spinal cord injury. The Paralyzed Veterans of America proposes evidence-based comprehensive clinical practice guidelines for adults with spinal cord injury. The International Consultation on Urologic Disease/Societe Internationale d'Urologie 2016 report and the Paralyzed Veterans of America guidelines offer more comprehensive, though disease-specific chapters on bowel management, male fertility, and male sexual dysfunction. It is evident that increased research efforts, possibly in the form of prospective registries, pragmatic trials, and resource utilization studies, are necessary to improve the underlying evidence base for neurogenic lower urinary tract dysfunction, and subsequently the strength and concordance of recommendations across guidelines.
