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[Urination disorders in multiple sclerosis: value of urodynamic assessment]
P Gallien1, M P Le Bot-Le Borgne, B Nicolas
1Service de rééducation Fonctionnelle Adultes, CHRU Pontchaillou, Rennes.
Journal D'Urologie
|January 1, 1994
Summary
Urinary symptoms in multiple sclerosis (MS) patients often lack clear correlation with urodynamic findings. Accurate diagnosis requires considering factors like postvoid residue and sphincter incompetence, not just symptoms alone.
Area of Science:
- Neurology
- Urology
Context:
- Urinary dysfunction is a prevalent complication in multiple sclerosis (MS).
- Effective management necessitates precise diagnostic methods.
- Urodynamic assessment is a key tool for evaluating bladder issues in MS.
Purpose:
- To investigate the correlation between subjective urinary symptoms and objective urodynamic findings in multiple sclerosis patients.
- To identify key risk factors for urinary dysfunction in this population.
Summary:
- Urodynamic assessment was conducted on 117 multiple sclerosis patients with urinary symptoms.
- Detrusor hyperreflexia was the most common finding, present in 50% of patients with detrusor sphincter dyssynergia.
- Urinary symptoms showed limited correlation with urodynamic results, indicating insufficient diagnostic accuracy based on symptoms alone.
- Postvoid residue and sphincter incompetence were identified as significant risk factors for urinary tract infections and incontinence, respectively.
Impact:
- Highlights the limitations of relying solely on patient-reported symptoms for diagnosing urinary issues in MS.
- Emphasizes the importance of comprehensive urodynamic evaluation and risk factor assessment for improved patient management.
- Informs clinical practice regarding the complex relationship between neurological disease and lower urinary tract symptoms.