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The complete excision with negative margins is important for a good prognosis. Lower urinary tract symptoms (LUTS) are a common urological referral, which sometimes can have a neurological basis in a patient with no formally diagnosed neurological disease ("occult neurology". Early identification and specialist input is needed to avoid bad LUTS outcomes, and to initiate suitable neurological management. The International Continence Society established a neurological working group to consider Which neurological conditions may include LUT