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[Vesico-sphincter dysfunction in 108 cases of multiple sclerosis]
O Bielsa Galí1, O Arango Toro, J Pascual Calvet
1Servicio y Cátedra de Urología, Hospital Universitario del Mar, Universidad Autónoma de Barcelona, Barcelona, España.
Archivos Espanoles De Urologia
|November 6, 2001
Summary
Vesicosphincteric dysfunction is common in multiple sclerosis (MS), often presenting as bladder hyperreflexia. While urological issues are typically infections, upper urinary tract complications are rare in MS patients.
Area of Science:
- Neurology
- Urology
- Clinical Medicine
Context:
- Multiple sclerosis (MS) is a chronic neurological disease affecting the central nervous system.
- Vesicosphincteric dysfunction is a common but often underdiagnosed complication of MS.
- Understanding the spectrum of bladder dysfunction in MS is crucial for patient management.
Purpose:
- To investigate the prevalence and characteristics of vesicosphincteric dysfunction in patients with multiple sclerosis.
- To analyze urodynamic findings and clinical presentations of bladder dysfunction in MS.
- To identify the types and frequency of urological complications associated with MS-related bladder dysfunction.
Summary:
- This study reviewed 108 patients with multiple sclerosis (MS) to assess vesicosphincteric dysfunction.
- Over half (59.2%) experienced voiding symptoms attributed to MS, with 6% presenting these as initial symptoms.
- Urodynamic assessment revealed detrusor hyperreflexia in 73% of patients; complications were predominantly infective, with rare upper urinary tract involvement.
Impact:
- Highlights the high incidence of bladder dysfunction in multiple sclerosis patients.
- Emphasizes the typical presentation of detrusor hyperreflexia and infective complications.
- Informs clinical practice regarding the urological assessment and management of patients with MS.