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Lower urinary tract dysfunction and disability status in patients with multiple sclerosis.

A Giannantoni1, G Scivoletto, S M Di Stasi

  • 1S. Lucia IRCCS Rehabilitation Hospital, Rome, Italy.

Archives of Physical Medicine and Rehabilitation
|April 17, 1999
PubMed
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Voiding disorders are common in multiple sclerosis (MS), often presenting early and indicating severe bladder dysfunction. Neurologic status significantly impacts bladder control, suggesting potential central or peripheral nervous system involvement.

Area of Science:

  • Neurology
  • Urology
  • Neuroscience

Background:

  • Multiple sclerosis (MS) is a chronic demyelinating disease affecting the central nervous system.
  • Urologic dysfunction is a common but often underreported complication in MS patients.
  • Understanding the link between neurologic and urologic status is crucial for comprehensive MS management.

Purpose of the Study:

  • To investigate the correlation between neurologic and urologic status in patients diagnosed with multiple sclerosis (MS).

Main Methods:

  • A cohort of 116 patients with MS symptoms underwent comprehensive neurologic and urologic assessments.
  • Urodynamic studies were utilized to evaluate bladder function.
  • Neurologic status was assessed using the Expanded Disability Status Scale, cerebellar system score, and Barthel Index.

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Main Results:

  • Urodynamic abnormalities were identified in 89.6% of MS patients.
  • Voiding disorders as a presenting symptom correlated with increased bladder dysfunction severity.
  • Reduced bladder sensation and detrusor hypocontractility showed significant relationships with specific neurologic parameters.

Conclusions:

  • Voiding dysfunction is a frequent initial symptom in MS, associated with more severe urodynamic abnormalities.
  • Close follow-up is recommended for MS patients presenting with voiding disorders.
  • While spinal cord pathology is the primary cause, cortical and peripheral lesions may also contribute to bladder control issues in MS.