Lower urinary tract dysfunction in multiple sclerosis
| Autor: | Michael E. Mayo, Michael P. Chetner |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Urology Urinary system Urinary Bladder Hyperreflexia urologic and male genital diseases Dyssynergia Humans Medicine Aged Urinary bladder business.industry Multiple sclerosis Urination disorder Middle Aged Urination Disorders medicine.disease female genital diseases and pregnancy complications Urodynamics Neck of urinary bladder medicine.anatomical_structure Sphincter Female medicine.symptom business |
| Zdroj: | Urology. 39:67-70 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/0090-4295(92)90045-x |
| Popis: | Previous investigators have shown that in multiple sclerosis failure to empty the bladder was secondary to detrusor-distal sphincter dyssynergia or areflexia. However, our urodynamic evaluation of 46 female and 43 male patients with multiple sclerosis revealed that 63 percent of patients failed to empty their bladders because of a hypocontractile detrusor, and only 6 percent had areflexia. Detrusor-distal sphincter dyssynergia (6%) and bladder neck obstruction (6%) were present in only 12 percent of patients. Hyperreflexia was common (78%) and was associated with hypocontractility in 63 percent of patients. Urgency incontinence was significantly more common in females and voiding difficulty significantly more common in males. Sensation was also reduced in 74 percent of female and 77 percent of male patients. In conclusion, failure to empty the bladder in multiple sclerosis is most commonly associated with hypocontractility, and the combination of hyperreflexia and hypocontractility produces the symptoms of urgency and incomplete emptying. |
| Databáze: | OpenAIRE |
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