Lower urinary tract (LUT) afferent pathways are crucial for LUT function. Their impairment can lead to dysfunction that deteriorates quality of life. Therefore, many therapies for LUT symptoms target LUT afferent pathways. However, still very little is understood about the function and integrity of such afferents in LUT dysfunction or symptoms. This is partly due to a lack of appropriate assessment tools. LUT electrical sensory assessment (LUTESA), comprising current perception threshold and sensory evoked potential measurement, is an available but under recognised diagnostic option. In this video we summarize and discuss the technique, current value, and future potential of LUTESA, a dormant chance to assess LUT afferent pathways in our patients.
| TOPIC | SPEAKER |
|---|
| Welcome / Foreword | Helmut Madersbacher |
| Animated introduction to the topic | |
| Short lecture: LUTESA methods: current perception threshold (CPT) assessment | Stéphanie van der Lely |
| Action video: Determination of current perception threshold (CPT) | Stéphanie van der Lely |
| Short lecture: LUTESA methods: sensory evoked potential (SEP) assessment | Stéphanie van der Lely |
| Action video: Basic approach and live recording of lower urinary tract sensory evoked potentials (LUTSEPs) | Stéphanie van der Lely |
| Action video: Processing and analysis of lower urinary tract sensory evoked potentials (LUTSEPs) | Stéphanie van der Lely |
| Interview: The clinical value of LUTESA – a neuro-urologist's perspective | Thomas M. Kessler |
| Short lecture: The current state of research in the field | Ulrich Mehnert |
| Interview: The challenges of LUTESA | Stéphanie van der Lely & Ulrich Mehnert |
| Action video: Fluoroscopic guided placement of LUTESA measuring catheter | Ulrich Mehnert |
| Interview: Implementation of LUTESA into clinical practice | Ulrich Mehnert |
| Action video: Advanced approach for segmental sensory evoked potential recording | Stephanie Stalder |
| Action video: Advanced approach using a multichannel electroencephalogram cap | Martina D. Liechti |
| Short lecture: Advanced use of LUTESA to assess the central control of the human lower urinary tract | Martina D. Liechti |
| Interview: The scientific value of LUTESA | Martina D. Liechti |
| Interview: The neurologist's perspective on LUTESA | Armin Curt |
| Conclusion | Ulrich Mehnert |