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Related Experiment Videos

Relation between objective and subjective measures of bladder dysfunction in multiple sclerosis.

J Jolijn Kragt1, Erwin L J Hoogervorst, Bernard M J Uitdehaag

  • 1Department of Neurology, VU University Medical Center, De Boelelaan 1117, PO Box 7057 1007 MB Amsterdam, The Netherlands. JJ.Kragt@vumc.nl

Neurology
|November 10, 2004
PubMed
Summary

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In multiple sclerosis (MS) patients, subjective urinary symptom scores like EDSS and GNDS do not predict bladder emptying issues. Ultrasound for post-void residual volume is recommended for all MS patients, regardless of symptoms.

Area of Science:

  • Neurology
  • Urology

Background:

  • Multiple sclerosis (MS) frequently causes urinary dysfunction, impacting patient quality of life.
  • Current methods for assessing bladder dysfunction in MS patients include subjective symptom scores and objective measurements.

Purpose of the Study:

  • To evaluate the correlation between subjective urinary symptom scores and objective measures of bladder dysfunction in multiple sclerosis patients.
  • To determine the predictive value of the Expanded Disability Status Scale (EDSS) and Guy's Neurological Disability Scale (GNDS) for postvoiding residual urine volume.

Main Methods:

  • The study included 297 patients diagnosed with multiple sclerosis.
  • Urinary symptoms were assessed using the bowel/bladder Functional System (FS) score of the EDSS and the bladder dysfunction score of the Guy's Neurological Disability Scale (GNDS).

Related Experiment Videos

  • Objective measurement of bladder dysfunction was performed by assessing postmicturition residual volume using ultrasound.
  • Main Results:

    • The EDSS and GNDS scores showed no significant value in predicting the presence of a clinically relevant postvoiding residual urine volume.
    • A significant number of multiple sclerosis patients may have asymptomatic bladder dysfunction.

    Conclusions:

    • Subjective assessments of urinary symptoms are insufficient for identifying significant bladder emptying problems in multiple sclerosis.
    • Routine ultrasound assessment of postvoid residual volume is recommended for all multiple sclerosis patients to detect asymptomatic bladder dysfunction.