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Urinary symptoms are frequently experienced in individuals with Ataxia and may arise from nervous system changes or primary urological issues such as prostate enlargement (in men) or pelvic organ prolapse (in women). While these symptoms can be disruptive and impact quality of life, they rarely lead to kidney damage. The type of bladder dysfunction varies by condition. For example, urinary retention is more common in Multiple System Atrophy (MSA), Friedreich’s Ataxia, and Xeroderma Pigmentosum, but less so in Spinocerebellar Ataxias (SCAs). The presentation August 6th, 2025 discusses highlights the importance of a personalized treatment plan and introduces the NEUROGED guidelines—a practical framework developed by EAN, EFAS, and INUS for managing lower urinary tract dysfunction in neurological disorders. For more information on Ataxia, please visit our website: https://www.ataxia.org Become a Free NAF member! https://bit.ly/JoinNAF Follow us on Social Media! NAF Facebook: / ataxiafounda. . NAF Twitter: / naf_ataxia NAF Instagram: / ataxiafound. . Ataxia Subreddit: / ataxia About the Speaker: Speaker: Jalesh Panicker, MBBS, MD, DM, MRCP Institution: University College Londer, Bio: Jalesh Panicker, MBBS, MD, DM, MRCP is a Professor of Neurology and Uro-Neurology at University College London (UCL), and Clinical Lead of the Department of Uro-Neurology at The National Hospital for Neurology and Neurosurgery, Queen Square, London. He leads a multidisciplinary team of specialists across Neurology, Urology, Uro-gynaecology and Neuro-Gastroenterology including Specialist Nurses, Clinical Scientists, Pelvic health physiotherapist and Health psychologist that offers a holistic approach to the management of bladder, sexual and bowel dysfunction in individuals with known and suspected neurological disorders. He is also involved in delivering Uro-Neurology teaching and training for junior doctors and other health care professionals across Neurology, Urology, Gynaecology and Physical Medicine and Rehabilitation from the UK and abroad. He leads an active research programme evaluating non-surgical treatment options for managing the neurogenic bladder. He has developed a comprehensive pelvic neurology protocol including pelvic neurophysiology testing for patients presenting with unexplained pelvic symptoms where a neurological cause is suspected. Professor Panicker has published more than 200 peer reviewed papers, 25 book chapters and published two books. He is currently the Educational Officer of the International Neuro-urology Society, building collaborative bridges between Neurology and Urology. He co-chaired the recently concluded NEUROGED multidisciplinary taskforce that is establishing guidelines for the management of neurogenic urogenital dysfunction for practicing neurologists. He has a specialist interest in the urogenital symptoms reported in different ataxia disorders and has published on SCA, FRDA and MSA.