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Micturitional disturbance in myotonic dystrophy

R Sakakibara1, T Hattori, M Tojo

  • 1Department of Neurology, Kashima Rosai Hospital, Japan.

Journal of the Autonomic Nervous System
|March 18, 1995
PubMed
Summary

Micturitional disturbances, including urination difficulty and incontinence, affect a third of myotonic dystrophy patients. These symptoms may stem from lower urinary tract muscle changes or pelvic nerve dysfunction.

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Area of Science:

  • Neurology
  • Urology

Background:

  • Micturitional disturbances are often overlooked in myotonic dystrophy patients.
  • Previous research has not extensively detailed urinary symptoms in this population.

Purpose of the Study:

  • To investigate the prevalence and characteristics of micturitional disturbances in patients with myotonic dystrophy.
  • To explore potential underlying causes of these urinary symptoms.

Main Methods:

  • Detailed micturitional histories were collected from six patients.
  • Urodynamic studies were conducted to assess bladder and urethral function.
  • Urethral sphincter electromyography and motor unit analysis were performed.

Main Results:

  • 33% of patients reported micturitional symptoms, including difficulty urinating, frequency, urgency, and stress incontinence.

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  • Urodynamic findings included low urethral closure pressure, varied bladder capacities, detrusor hyperreflexia, and atonic cystometrograms.
  • Electromyography indicated abnormal reflexes and external sphincter muscle potentials.
  • Conclusions:

    • Micturitional disturbances are present in a significant portion of myotonic dystrophy patients.
    • Potential causes include dystrophic changes in lower urinary tract muscles and supranuclear pelvic nerve dysfunction.