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Related Experiment Videos

Bladder, bowel and sexual dysfunction in patients with multiple sclerosis--a cohort study

A Bakke1, K M Myhr, M Grønning

  • 1Department of Surgery, Haukeland Hospital, Bergen, Norway.

Scandinavian Journal of Urology and Nephrology. Supplementum
|January 1, 1996
PubMed
Summary

Multiple sclerosis (MS) patients frequently experience bladder, bowel, and sexual dysfunction, worsening with disease progression. Early neuro-urological assessment and interventions are crucial for managing MS-related symptoms.

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Area of Science:

  • Neurology
  • Urology
  • Rehabilitation Medicine

Background:

  • Multiple Sclerosis (MS) is a chronic neurological disease affecting young adults.
  • MS can lead to significant bladder, bowel, and sexual dysfunction.
  • Understanding the prevalence and progression of these dysfunctions is vital for patient care.

Purpose of the Study:

  • To investigate the prevalence of bladder, bowel, and sexual dysfunction in a cohort of MS patients.
  • To identify factors influencing the development and severity of these dysfunctions.
  • To highlight the need for neuro-urological assessment and management strategies.

Main Methods:

  • Population-based cohort study design.
  • Inclusion of 209 MS patients with a disease duration of 9-19 years.

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  • Data collection on bladder, bowel, and sexual dysfunction, age, age at onset, disease duration, and disease course.
  • Main Results:

    • High prevalence of dysfunction: 57.5% bladder, 41.3% bowel, 51% sexual.
    • Dysfunction correlated with older age, earlier MS onset, longer duration, and progressive disease course.
    • Relapsing-remitting secondary progressive MS showed the highest worsening rate (~70% over 8 years).

    Conclusions:

    • A significant number of MS patients require neuro-urological evaluation.
    • Preventing or delaying the secondary progressive course of MS is critical.
    • Interdisciplinary management is essential for improving quality of life in MS patients.