[Urination disorders in multiple sclerosis: value of urodynamic assessment]

Urinary troubles are common in patients with multiple sclerosis. The management of these troubles requires an accurate analysis. Urodynamic assessment was preformed in 117 patients with urinary symptoms positively diagnosed as suffering from multiple sclerosis. Urinary symptoms are not always correlated to urodynamic patterns. We have studied the correlation between urinary symptoms and urodynamic findings. Urodynamic results are similar to most of previous series: detrusor hyperreflexia is the most frequent abnormality, detrusor sphincter dyssynergia is diagnosed in 50% of the patients. There is some correlations with symptoms, but there are insufficient for an accurate diagnosis. Postvoid residue for urinary tracts infectious diseases, and sphincter incompetence for urinary incontinence are the main risk factors.