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Related Experiment Videos

[Bladder and rectum disturbances in multiple sclerosis].

E Schneider

    Schweizer Archiv Fur Neurologie, Neurochirurgie Und Psychiatrie = Archives Suisses De Neurologie, Neurochirurgie Et De Psychiatrie
    |January 1, 1975
    PubMed
    Summary

    Multiple sclerosis patients frequently experience bladder and bowel dysfunction, with a notable disconnect between reported symptoms and clinical findings. Objective tests revealed lower rates of bladder issues than expected, highlighting diagnostic challenges.

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    Area of Science:

    • Neurology
    • Urology

    Background:

    • Multiple sclerosis (MS) commonly affects bladder and bowel function.
    • Understanding the prevalence and characteristics of these dysfunctions in MS is crucial for patient care.

    Purpose of the Study:

    • To investigate the incidence and types of neurogenic bladder and bowel dysfunction in multiple sclerosis patients.
    • To assess the reliability of subjective complaints versus objective findings.
    • To explore the relationship between these disorders and neurological signs.

    Main Methods:

    • Studied 88 unselected multiple sclerosis patients.
    • Assessed bladder function using cystometry and uroflowmetry.
    • Excluded cases with bladder neck obstructions due to tumors.

    Main Results:

    • 58% reported subjective bladder disorders.
    • 60% experienced urinary retention.
    • Only 46% showed pathological cystometry results, contrasting with higher literature reports.
    • A 25% dissociation between subjective complaints and objective bladder disorders was observed.
    • Bladder and bowel issues were more common in patients with neurological perception disorders.

    Conclusions:

    • Significant incidence of bladder and bowel dysfunction in multiple sclerosis.
    • A notable discrepancy exists between patient-reported symptoms and objective urodynamic findings.
    • Perception deficits in neurological syndrome correlate with increased bladder and bowel dysfunction.

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