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[Lower urinary tract dysfunction in Guillain-Barre syndrome].

A Reitz1, M Mohr2,3, N Leistner2

  • 1KontinenzZentrum Hirslanden, Klinik Hirslanden, Witellikerstraße 40, 8032, Zürich, Schweiz. andre.reitz@hirslanden.ch.

Der Urologe. Ausg. A
|October 1, 2017
PubMed
Summary
This summary is machine-generated.

Guillain-Barré syndrome (GBS) can cause lower urinary tract dysfunction. The Barthel index effectively screens patients with GBS for this dysfunction, guiding further urodynamic assessment.

Keywords:
CatheterizationGuillain-Barre syndromeNeurogenic bladderRehabilitationUrodynamics

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Area of Science:

  • Neurology
  • Urology

Background:

  • Guillain-Barré syndrome (GBS), an acute inflammatory demyelinating polyradiculoneuropathy, frequently causes lower urinary tract dysfunction.
  • Medical literature offers limited knowledge and scarce recommendations for diagnosing and treating GBS-related urinary issues.

Purpose of the Study:

  • To investigate the prevalence of lower urinary tract dysfunction in GBS patients.
  • To evaluate the utility of the Barthel index (BI) as a screening tool for urodynamic assessment in GBS patients.

Main Methods:

  • 189 GBS patients were screened for lower urinary tract dysfunction.
  • Symptomatic patients underwent urodynamic studies.
  • Detrusor contractility, post-void residual, and symptom changes were analyzed.
  • The overall BI and urinary control BI were assessed as screening criteria.

Main Results:

  • 61% of GBS patients (115/189) experienced lower urinary tract symptoms during their disease course.
  • A significant negative correlation was found between post-void residual volume and both overall BI (ρ -0.5823) and urinary control BI (ρ -0.6430).
  • At the end of rehabilitation, 30 patients had no urinary control (BI 0), 20 had partial control (BI 5), and 37 had no symptoms (BI 10).

Conclusions:

  • The overall Barthel index and the Barthel index for urinary tract control are suitable screening tools for identifying GBS patients requiring urodynamic assessment.
  • These BI scores correlate significantly with urinary dysfunction severity, aiding in clinical decision-making.