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[Urologic complications of multiple sclerosis. 180 cases]
G Amarenco1, S Bosc, F Boiteau
1Service de Rééducation, Hôpital Robert Ballanger, Aulnay-sous-Bois.
Presse Medicale (Paris, France : 1983)
|June 22, 1996
Summary
Urological complications are common in multiple sclerosis (MS) patients, affecting over half. Regular urodynamic and imaging tests are crucial for early detection and management of these serious conditions.
Area of Science:
- Neurology
- Urology
- Nephrology
Context:
- Multiple sclerosis (MS) is a chronic neurological disease impacting the central nervous system.
- Urological dysfunction is a frequent and significant comorbidity in MS patients.
- Assessing the prevalence and severity of urological issues in MS is critical for patient care.
Purpose:
- To evaluate the frequency and importance of urological complications in patients diagnosed with multiple sclerosis.
- To correlate urodynamic findings with clinical symptoms and urological complications.
- To determine the necessity of regular urological monitoring in MS patients.
Summary:
- This study examined 180 multiple sclerosis patients using various urological assessments.
- Detrusor hyperreflexia (70%) and areflexia (15%) were common, linked to incontinence (62%) and retention (18%).
- Urological complications occurred in 56% of patients, including benign (37%) and serious (19%) lesions like hydronephrosis and pyelonephritis.
Impact:
- The high incidence of urological complications underscores the need for proactive management in MS.
- Findings highlight the importance of frequent urodynamic and radiological evaluations for early detection of serious renal damage.
- This research emphasizes the integration of urological care into the comprehensive management of multiple sclerosis.