Arch Esp Urol 2001 Sep;54(7):697-701
Bielsa Gali O, Arango Toro O, Pascual
Calvet J, Cortadellas Angel R, Conde Santos G, Lorente Garin JA, Gelabert
Mas A.
Servicio y Catedra de Urologia,
Hospital Universitario del Mar, Universidad Autonoma de Barcelona, Barcelona,
Espana.
OBJECTIVE:
To study vesicosphincteric dysfunction
in 108 patients with multiple sclerosis.
METHODS:
We reviewed the clinical records
of 108 patients with multiple sclerosis and analyzed those with voiding
symptoms ascribable to multiple sclerosis. These patients underwent complete
urodynamic assessment and complementary tests according to their symptoms.
The Blaivas classification was used for the clinical classification of
multiple sclerosis.
RESULTS:
64 of the 108 patients presented
voiding symptoms ascribable to multiple sclerosis (59.2%). The clinical
features presented as episodes in 75% and were progressive in 25% of the
cases. In 6% of the patients, the voiding symptoms were the first symptoms
of multiple sclerosis. Urodynamic assessment showed detrusor hyperreflexia
in 73% of the patients, hyporeflexia in 14%, and 13% showed normal urodynamics.
All complications were infective; no patient showed upper urinary tract
complications.
CONCLUSIONS:
Vesicosphincteric dysfunction in
multiple sclerosis is frequent. Most of the patients present bladder hyperreflexia.
The urological complications are usually infective. Involvement of the
upper urinary tract is rare.
PMID: 11692434 [PubMed - in process]