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Peri-ictal urinary dysfunction in patients with epilepsy: a cross-sectional study
Mahmoud Motamedi1, Mohammad Reza Nikoobakht, Mehdi Aloosh
1Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Urinary symptoms are common in epilepsy patients, affecting nearly 40%. Urgency is more frequent with partial seizures, and retention may be a post-ictal deficit.
Area of Science:
- Neurology
- Urology
- Epilepsy Research
Background:
- Epilepsy affects millions globally, with potential for diverse symptoms.
- Understanding peri-ictal symptoms aids comprehensive patient care.
Purpose of the Study:
- To determine the prevalence of urinary symptoms around seizures in epilepsy patients.
- To investigate the link between seizure type and these urinary issues.
Main Methods:
- 115 epilepsy patients were interviewed about urinary symptoms.
- Symptoms were assessed in the peri-ictal period (2 mins before to 48 hours after seizure).
- Statistical analyses included Chi-square, Fisher's Exact, and t-tests.
Main Results:
- 39.1% of patients reported at least one urinary symptom.
- Incontinence (24.3%), urgency (16.5%), and retention (8.7%) were most common.
- Urgency was significantly higher in partial seizures (P=.037); retention was more frequent in women.
Conclusions:
- Peri-ictal urologic dysfunction is a frequent complication in epilepsy.
- Post-ictal urinary retention may represent a specific neurological deficit.
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