Prog Urol 2003 Apr;13(2):246-51
Zachoval R, Palascak P, Urban M, Zalesky M, Heracek J, Lukes M.
Departement d'Urologie, Universite Charles, Srobarova 50, 10034 Prague 10, Republique tcheque.
To establish an association between different types and degrees of neurological involv ement and lower urinary tract dysfunctions and their symptoms in patients with multiple sclerosis.
PATIENTS AND METHODS:
The studied group comprises 84 patients with multiple sclerosis with an average of 42.1 years in whom neurological and urological functional involvement had been evaluated.
Neurological involvement had been evaluated using Expanded Disability Status Scale (EDSS) score; urinary tract dysfunctions have been diagnosed by urodynamic examinations and lower urinary tract symptoms (LUTS) using the micturition questionnaire.
1) An association between neurological involvement and lower urinary tract dysfunctions: detrusor hyperreflexia depends on the degree of pyramidal system involvement and the presence of detrusor-sphincter dyssynergia depends on overall disability and the degree of pyramidal system involvement.
2) An association between lower urinary tract dysfunctions and LUTS: obstructive symptoms depend on the presence of detrusor-sphincter dyssynergia.
3) An association between neurological involvement and LUTS has not been established.
An association between neurological involvement, lower urinary tract dysfunctions and their symptoms has been found.
Based on this knowledge, it is possible to simplify the diagnostic and therapeutic approaches in certain groups of patients.