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Related Experiment Videos

Urinary, faecal and sexual dysfunction in patients with multiple sclerosis.

A Hennessey1, N P Robertson, R Swingler

  • 1Department of Neurology, University of Wales College of Medicine, Heath Park, Cardiff, UK.

Journal of Neurology
|January 13, 2000
PubMed
Summary

Multiple sclerosis (MS) frequently causes bladder and bowel dysfunction, impacting quality of life. This study highlights the high prevalence of urinary, bowel, and sexual issues in MS patients.

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Area of Science:

  • Neurology
  • Urology
  • Gastroenterology

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease affecting the central nervous system.
  • Bladder and bowel dysfunction are common but often underreported symptoms in MS patients.
  • Understanding the prevalence and nature of these dysfunctions is crucial for patient care.

Purpose of the Study:

  • To investigate the prevalence and characteristics of bladder, bowel, and sexual dysfunction in a population-based sample of multiple sclerosis patients.
  • To identify common symptoms and contributing factors related to these dysfunctions.

Main Methods:

  • A population-based study involving 221 multiple sclerosis patients who completed postal questionnaires.
  • Supplemented by personal interviews for sexual dysfunction in 174 patients.

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  • Laboratory tests and urodynamic assessments were conducted in 152 participants.

    • Main Results:

    • 14% of patients used indwelling catheters; 44% reported urinary dysfunction (urgency, frequency).
    • 9% showed biochemical evidence of renal dysfunction; 30% had infected urine samples.
    • 29% experienced fecal incontinence; 54% reported constipation.
    • Sexual dysfunction was reported by 82% of men (erectile failure) and 52% of women (fatigue).

    Conclusions:

    • Bladder and bowel dysfunction are highly prevalent in multiple sclerosis, significantly impacting patients' quality of life.
    • Sexual dysfunction is also common, with distinct symptoms in men and women.
    • Comprehensive assessment and management of these issues are essential for individuals with MS.