[Urodynamic assessment in multiple sclerosis and Parkinson's disease]
Acta Bio-Medica De L'Ateneo Parmense : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
|January 1, 1982
Summary
Central nervous system diseases like Parkinsonism and multiple sclerosis significantly impact bladder function. Urodynamic and EMG studies reveal high rates of vesico-sphincteric impairment in these patients, guiding better therapeutic strategies.
Area of Science:
- Neurology
- Urology
Context:
- Central nervous system (CNS) diseases, including Parkinsonism and multiple sclerosis, frequently cause secondary bladder dysfunction.
- Patients with known urological conditions were excluded to isolate neurological effects on bladder control.
Purpose:
- To investigate the urodynamic and electromyographic (EMG) characteristics of bladder and sphincter dysfunction in patients with Parkinsonism and multiple sclerosis.
- To correlate specific urodynamic findings with disease type and severity.
Summary:
- Electrocystouretromanometry and electromyography were performed on 25 patients with CNS diseases.
- Multiple sclerosis patients showed detrusor hyperreflexia (75%) and sphincter EMG abnormalities (85%).
- Parkinsonism patients exhibited significant changes in 90% of cystomanometries and 54% of sphincter EMG studies.
Impact:
- Findings highlight the high prevalence of bladder and sphincter dysfunction in these neurological conditions.
- Accurate assessment of urodynamic changes can lead to more targeted and effective therapeutic interventions for improved patient outcomes.
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