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Urodynamics in patients with multiple sclerosis: A consensus statement from a urodynamic experts working group.
M A Averbeck1, V Iacovelli2,3, J Panicker4
1Department of Urology, Moinhos de Vento Hospital, Porto Alegre, Brazil.
Neurourology and Urodynamics
|November 21, 2019
Summary
Urodynamics (UDS) is a valuable tool for multiple sclerosis (MS) patients with lower urinary tract dysfunction (LUTD). This study established expert consensus on the role of UDS in managing MS patients.
Area of Science:
- Neuro-urology
- Urology
- Rehabilitation Medicine
Background:
- Lower urinary tract dysfunction (LUTD) is common in multiple sclerosis (MS) patients.
- Urodynamics (UDS) is often considered for MS patients, but its optimal timing and use are debated.
Purpose of the Study:
- To establish a consensus among experts on the role of UDS in managing MS patients.
- To address the controversial aspects of UDS indication in MS patients.
Main Methods:
- A Delphi method consensus project was conducted.
- A panel of five experts in urology, rehabilitation medicine, and neurology participated.
- Consensus was defined as agreement by ≥70% of experts, with multiple consensus meetings held.
Main Results:
- Formal consensus was achieved on 100% of the items evaluated.
- An algorithm for UDS use in MS patients was developed.
- Expert opinion recommendations were unanimously approved.
Conclusions:
- Urodynamics (UDS) is an important diagnostic tool for MS patients.
- UDS is particularly useful for evaluating LUT dysfunction patterns in high-risk MS patients.
- Further research is needed to establish optimal long-term UDS follow-up protocols for MS.
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