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[Urinary disorders in multiple sclerosis. Apropos of 47 cases]
Journal D'Urologie
|January 1, 1984
Summary
This study examines neuro-urological issues in 47 patients with disseminated sclerosis (DS), finding bladder dysfunction common, particularly in progressive stages. Management of micturition disturbances is crucial for improving quality of life in DS patients.
Area of Science:
- Neuro-urology
- Neurology
- Urodynamics
Context:
- Disseminated sclerosis (DS) frequently causes significant micturition disturbances.
- Neuro-urological management is essential for patients with bladder dysfunction due to DS.
Purpose:
- To analyze the characteristics of micturition disturbances in patients with disseminated sclerosis.
- To investigate the relationship between disease progression, urodynamic findings, and clinical presentation.
Summary:
- 47 disseminated sclerosis patients experienced micturition issues, with dysuria, frequency, and urgency incontinence being most common.
- Urodynamic findings revealed detrusor overactivity or underactivity, often with striate sphincter spasticity, but no clear correlation with disease duration or type.
- Sphincter incompetence was prevalent, independent of locomotor function.
Impact:
- Highlights the high prevalence and varied presentation of bladder dysfunction in disseminated sclerosis.
- Emphasizes the need for comprehensive neuro-urological assessment and management in these patients.
- Informs clinical practice regarding the assessment and treatment of voiding dysfunction in disseminated sclerosis.