Management of Neurogenic Lower Urinary Tract Dysfunction in Multiple Sclerosis Patients

2015 ◽  
Vol 16 (7) ◽  
Author(s):  
Areeba Sadiq ◽  
Benjamin M. Brucker
Keyword(s):  
Multiple Sclerosis ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Multiple Sclerosis Patients ◽  
Lower Urinary

Relationship between urodynamic findings and sexual function in multiple sclerosis patients with lower urinary tract dysfunction

2014 ◽  
Vol 22 (3) ◽  
pp. 485-492 ◽  
Author(s):  
E. Fragalà ◽  
G. I. Russo ◽  
A. Di Rosa ◽  
R. Giardina ◽  
S. Privitera ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Urinary Tract ◽  
Sexual Function ◽  
Lower Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Multiple Sclerosis Patients ◽  
Lower Urinary

scholarly journals Clinical Predictors of Neurogenic Lower Urinary Tract Dysfunction in Persons with Multiple Sclerosis

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 191
Author(s):  
Janina Beck ◽  
Anke Kirsten Jaekel ◽  
Federico Leopoldo Zeller ◽  
Michael Kowollik ◽  
Ines Kurze ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Expanded Disability Status Scale ◽  
Disability Status ◽  
Multiple Sclerosis Patients ◽  
Voided Volume ◽  
Lower Urinary

Background: Multiple sclerosis patients often develop neurogenic lower urinary tract dysfunction with a potential risk of upper urinary tract damage. Diagnostic tools are urodynamics, bladder diary, uroflowmetry, and post-void residual, but recommendations for their use are controversial. Objective: We aimed to identify clinical parameters indicative of neurogenic lower urinary tract dysfunction in multiple sclerosis patients. Methods: 207 patients were prospectively assessed independent of the presence of lower urinary tract symptoms. We analyzed Expanded Disability Status Scale scores, uroflowmetry, post-void residual, rate of urinary tract infections, standardized voiding frequency, and voided volume in correlation with urodynamic findings. Results: We found a significant correlation between post-void residual (odds ratio (OR) 4.17, confidence interval (CI) 1.20–22.46), urinary tract infection rate (OR 3.91, CI 1.13–21.0), voided volume (OR 4.53, CI 1.85–11.99), increased standardized voiding frequency (OR 7.40, CI 2.15–39.66), and urodynamic findings indicative of neurogenic lower urinary tract dysfunction. Expanded Disability Status Scale shows no correlation. Those parameters (except post-void residual) are also associated with reduced bladder compliance, as potential risk for kidney damage. Conclusion: Therefore, bladder diary and urinary tract infection rate should be routinely assessed to identify patients who require urodynamics.

scholarly journals Epidemiology and characteristics of urinary tract dysfunction in multiple sclerosis patients

2020 ◽  
Vol 8 (2) ◽  
pp. 29-36
Author(s):  
A. V. Ziryanov ◽  
I. V. Bazhenov ◽  
E. S. Philippova ◽  
G. S. Ustinov ◽  
E. L. Turova ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Lower Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Average Score ◽  
Urinary Disorders ◽  
Multiple Sclerosis Patients ◽  
Progressive Course ◽  
Lower Urinary

Introduction. Data on the epidemiology and nature of neurogenic lower urinary tract dysfunction (NLUTD) in multiple sclerosis (MS) are contradictory: the prevalence rate ranges from 50 to 90% according to different authors.Purpose of the study. To assess the frequency and nature of urination disorders in patients with various forms of multiple sclerosis.Materials and methods. We analyzed the data of patients observed in the Regional Centre of Multiple sclerosis at Sverdlovsk Regional Clinical Hospital No. 1. The study included 160 patients aged 42.6±12.3 years, of which 64% were men and 36% were women. The primary progressive course of the disease occurred in 5% of patients, the secondary progressive course in 39%, and remitting in 56%. The average score according to the Expanded Disability Status Scale (EDSS) was 3.94±2.10. The nature of neurogenic dysfunction of the lower urinary tract was evaluated using questionnaires (NBSS, SF-Qualiveen) and urodynamic studies.Results. NLUTD were detected in 65% of MS patients. The average score according to the Neurogenic Bladder Symptom Scale (NBSS) in patients with NLUTD was 26.93±13.12, which was significantly (p < 0.001) exceed than the value of this indicator among patients without pelvic disorders (6.43±2.34). Symptoms of emptying were noted in more than half of patients with a neurogenic bladder in the presence of multiple sclerosis: poor urine flow (63%), abdominal straining during urination (76%). Complaints of storage symptoms, such as urgency and frequency, were presented by 98% of patients with neurogenic lower urinary tract dysfunction. Urinary incontinence was diagnosed in 84% of cases. The values of the «incontinence», «storage and voiding» and «complications» domains of NBSS were 8.66±7.17, 12.18±3.7 and 3.48±4.21, respectively. The total score of SF-Qaliveen questionnaire in patients with MS with urinary disorders was 2.93±1.13, in patients without NLUTD, 1.03±0.91 (р < 0,001).Conclusions. Neurogenic lower urinary tract dysfunction occurs in patients with multiple sclerosis with a frequency of 65%. These urinary disorders have a significant impact on the patients` quality of life.

scholarly journals Lower Urinary Tract Dysfunction in Multiple Sclerosis Patients

2016 ◽  
Vol 6 (4) ◽  
pp. 190-195 ◽  
Author(s):  
Aslı Aksoy Gündoğdu ◽  
Dilcan Kotan ◽  
Yavuz Tarık Atik ◽  
Saadet Sayan ◽  
Hasan Salih Sağlam
Keyword(s):  
Multiple Sclerosis ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Multiple Sclerosis Patients ◽  
Lower Urinary
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