Background and Aims
Lower urinary tract symptoms (LUTS) may represent an early clinical manifestation of underlying neurological disorders such as spina bifida, multiple sclerosis, and parkinsonian syndromes. In many cases, patients initially present to continence services prior to receiving a neurological diagnosis. This multidisciplinary roundtable aims to provide a structured, evidence-informed approach to the evaluation of patients presenting with urinary incontinence or retention where an underlying neurological etiology is suspected.

Content and Structure
The session will open with case vignettes illustrating real-world diagnostic challenges encountered by continence specialists when neurological involvement is considered. This will be followed by a focused review of neurological disorders that may present with urological symptoms in their early stages, including recommended neurological investigations and referral pathways.

The roundtable will conclude with pragmatic recommendations to support continence clinicians in recognising potential neurological red flags, initiating appropriate investigations, and integrating neurological considerations into routine continence care.

Schedule for the roundtable:
1.Introduction- Jalesh N. Panicker
2.Setting the scene- dilemmas faced in clinic – Sanjay Sinha
3.Neurological disorders that can first present in a LUTS clinic- Jalesh N. Panicker
4.When should a continence practitioner suspect neurological disorder- Marcus Drake