scholarly journals A urological challenge: Voiding dysfunction in multiple sclerosis

2013 ◽  
Vol 7 (9-10) ◽  
pp. 181 ◽  
Author(s):  
Jacques Corcos

Patients with multiple sclerosis (MS) have a very high prevalence of lower urinary tract symptoms—as many as 90% of patients with MS experience some form of voiding dysfunction and/or incontinence.1 This summary provides a brief overview of MS epidemiology, pathophysiology, the impact of the disease on patient quality of life, and the particular kinds of urinary tract abnormalities and symptoms that can present among patients with MS. Strategies to help diminish the impact of these symptoms are also discussed.

2014 ◽  
Vol 35 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Kristin M. Khalaf ◽  
Karin S. Coyne ◽  
Denise R. Globe ◽  
Daniel C. Malone ◽  
Edward P. Armstrong ◽  
...  

2019 ◽  
Author(s):  
Fatemeh Nazari ◽  
Vahid Shaygannejad ◽  
Mehrdad Mohammadi Sichani ◽  
Marjan Mansourian Gharaagozlou ◽  
Valiollah Hajhashemi

Abstract Evaluation of Quality of Life among Patients with Multiple Sclerosis and Lower Urinary Tract Symptoms: A Cross-Sectional Study Background: Urinary complications are prevalent among patients with multiple sclerosis (MS), and evaluating the usefulness of treatment requires a direct measurement of the health-related quality of life (QOL). Therefore, this study was carried out aiming to determine the QOL of patients with MS and lower urinary tract symptoms (LUTS). Methods: This cross-sectional study was carried out using multi-stage random cluster sampling method on 603 patients with MS who referred to the neurology clinic of Kashani and Alzahra treatment centers affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. The diagnosis of MS was approved among these patients based on the 2010 Revised McDonald Diagnostic Criteria by a neuroscientist. Data were collected through interviews using the questionnaire standard International Prostate Symptom Score (IPSS), and the Multiple Sclerosis Quality of Life-54 (MSQOL-54). Data were analyzed using descriptive and inferential statistical tests. The significance level was considered to be less than 0.050. Results: The prevalence of LUTS among patients with MS was 84.2%, the prevalence rate of mixed, irritative, and obstructive urinary symptoms was 52.2%, 25.5%, and 6.5%, respectively. There was a statistically significant difference in the combined dimensions of physical and mental health of QOL between the two groups with and without LUTS (P < 0.05). Moreover, logistic regression analysis revealed that there was a higher probability of a urinary tract problem among patients with MS and high EDSS score [0.67 (0.485-0.930), P = 0.02]. Conclusions: Due to the high prevalence rate of mixed LUTS among patients with MS and decrease in QOL, screening and attention to these symptoms are necessary in order to prevent secondary outcomes and improve QOL. Keywords: Multiple sclerosis, urinary symptoms, quality of life


2015 ◽  
Vol 26 (2) ◽  
pp. S59
Author(s):  
I-Hung Shao ◽  
Hueih-Shing Hsu ◽  
Shyh-Chyi Chang ◽  
Hsu-Hsiang Wang ◽  
Heng-Chang Chuang ◽  
...  

2021 ◽  
Author(s):  
Ji Bong Jeong ◽  
Jung Hoon Lee ◽  
Min Soo Choo ◽  
Dong-Won Ahn ◽  
Su Hwan Kim ◽  
...  

Abstract Purpose: We aimed to assess the relationship between lifestyle-related variables, metabolic syndrome, and lower urinary tract symptoms (LUTS) in men ≥40years. We also assessed the impact of these variables on quality of life. Materials and methods: From 2014 to 2020, 5,355 men who underwent health check-ups with I-PSS questionnaires at our institute were included in the analysis. The impact of LUTS on sleep disorders and moderate to severe degrees of stress were assessed. Multivariate analysis was performed to determine the variables associated with LUTS and prostate volume. Results: Moderate and severe LUTS were present in 1,317 (24.6%) and 211 (3.9%) men, respectively. Moderate and severe LUTS were significantly associated with the presence of sleep disorders and stress. On multivariable analysis, age, amount of life-long smoking, marital status, income, job, and decreased HDL-cholesterol were associated with the presence of moderate to severe LUTS. Central obesity and decreased HDL-cholesterol levels were also significantly associated with prostate volume, in addition to age. Conclusions: In men ≥40years, stable socioeconomic status is negatively associated with moderate to severe LUTS, which worsens sleep quality and stress level. In addition, quitting smoking and maintaining HDL-cholesterol over 40mg/dL might be effective for preventing moderate to severe LUTS.


Author(s):  
Bruna Maciel Catarino ◽  
Alessandro Finkelsztejn ◽  
Magda da Silva Aranchipe ◽  
José Geraldo Lopes Ramos ◽  
Luciano Palmeiro Rodrigues ◽  
...  

2016 ◽  
Vol 36 (2) ◽  
pp. 453-456 ◽  
Author(s):  
Steven J. Weissbart ◽  
Dasha Pechersky ◽  
Anna Malykhina ◽  
Thomas Bavaria ◽  
Lisa Parrillo ◽  
...  

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