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Related Experiment Videos

Anorectal dysfunction in multiple sclerosis.

E Munteis1, M Andreu, M J Téllez

  • 1Servei de Neurología, Hospital del Mar, Barcelona, Spain. 91774@imas.imim.es

Multiple Sclerosis (Houndmills, Basingstoke, England)
|April 25, 2006
PubMed
Summary
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Anorectal dysfunction (ARD) affects nearly half of multiple sclerosis (MS) patients, often alongside urinary dysfunction (UD). Female sex, disease severity (EDSS), and UD predict ARD in MS.

Area of Science:

  • Neurology
  • Gastroenterology
  • Urology

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease impacting the central nervous system.
  • Anorectal dysfunction (ARD) and urinary dysfunction (UD) are common but often underreported symptoms in MS patients.
  • Understanding the prevalence and predictors of ARD is crucial for improving patient quality of life.

Purpose of the Study:

  • To determine the frequency of anorectal dysfunction (ARD) in individuals with multiple sclerosis (MS).
  • To investigate the relationship between ARD and various clinical characteristics of MS.
  • To identify independent predictors of ARD in the MS population.

Main Methods:

  • A prospective transversal study was conducted with 193 patients diagnosed with multiple sclerosis (MS).

Related Experiment Videos

  • Data collected included demographic variables, MS clinical characteristics, and the presence of anorectal dysfunction (ARD) and urinary dysfunction (UD).
  • Statistical analyses, including univariate and logistic regression, were employed to identify associations and predictors.
  • Main Results:

    • Anorectal dysfunction (ARD) was identified in 48.2% of the 193 MS patients; urinary dysfunction (UD) was present in 50.2%.
    • ARD was significantly associated with older age, greater MS-related disability (EDSS), longer disease duration, and the presence of UD.
    • ARD was more prevalent in progressive forms of MS, and logistic regression identified female sex, EDSS, and UD as independent predictors.

    Conclusions:

    • Anorectal dysfunction (ARD) is a highly prevalent condition among patients with multiple sclerosis (MS).
    • Female sex, higher Expanded Disability Status Scale (EDSS) scores, and concurrent urinary dysfunction (UD) are significant independent predictors for the development of ARD in MS.
    • These findings highlight the need for routine screening and management of ARD in MS patients.