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Lower Urinary Tract Dysfunction in Pediatric Patients with Multiple Sclerosis: Diagnostic and Management Concerns
Maria Laura Sollini1,2, Chiara Pellegrino1, Giulia Barone1,3
1Division of Neuro-Urology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Children (Basel, Switzerland)
|May 25, 2024
Summary
Pediatric multiple sclerosis (MS) can present with urinary symptoms like incontinence or retention. Early urological care and multidisciplinary teams are crucial for managing these manifestations in children with MS.
Area of Science:
- Neurology
- Urology
- Pediatrics
Background:
- Multiple sclerosis (MS) incidence is rising in children.
- Pediatric MS symptoms are diverse and can mimic acute neurological events.
- Urological manifestations in pediatric MS are understudied.
Purpose of the Study:
- To describe the urological manifestations in children diagnosed with multiple sclerosis.
- To share clinical experience regarding MS-related urological symptoms in pediatric patients.
Main Methods:
- Retrospective evaluation of pediatric patients with MS (Krupp criteria) and urological symptoms.
- Data collection included demographics, clinical history, MRI findings, and urological assessments.
- Analysis of urinary symptoms, urodynamic patterns, and treatment strategies.
Main Results:
- Six pediatric MS cases with urological symptoms were identified.
- Urinary incontinence (5 patients) and urinary retention (1 patient) were reported.
- Urodynamics revealed overactive and underactive bladder patterns; treatments included catheterization, medications, and botulinum toxin.
- Low acceptance of invasive urological evaluations was noted.
Conclusions:
- MS diagnosis can be a significant emotional burden for pediatric patients.
- Integrating pediatric urologists into multidisciplinary teams is recommended for timely management of urological issues in pediatric MS.
- Prompt urological care from diagnosis is essential for affected children.
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