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Urodynamic studies in female patients with multiple sclerosis
American Journal of Obstetrics and Gynecology
|February 1, 1981
Summary
Multiple sclerosis patients often experience urinary retention and incontinence due to detrusor overactivity and elevated urethral pressures, as confirmed by urodynamic testing in this study.
Area of Science:
- Neurology
- Urology
Background:
- Multiple sclerosis (MS) frequently impacts the lower urinary tract.
- Urinary dysfunction in MS patients can manifest as retention and/or incontinence.
Purpose of the Study:
- To investigate the urodynamic findings in patients with multiple sclerosis.
- To correlate urodynamic results with urinary retention and incontinence in MS.
Main Methods:
- Urodynamic testing was performed on 46 patients diagnosed with multiple sclerosis.
- Key parameters assessed included detrusor overactivity, resting urethral pressures, bethanechol chloride stress test results, and urine residual volumes.
Main Results:
- Detrusor overactivity was present in 86.9% of patients.
- Elevated resting urethral pressures were observed in 84.8% of patients.
- A significant residual urine was noted in 56.5% of patients, and 63.2% had a positive bethanechol chloride stress test.
Conclusions:
- Urodynamic abnormalities, including detrusor overactivity and elevated urethral pressures, are common in multiple sclerosis patients.
- These findings help explain the high prevalence of urinary retention and incontinence in this population.