Voiding dysfunction in Parkinson's disease.
A micturitional history of unselected 110 patients with Parkinson's disease revealed that 66 (60%) had urinary symptoms such as irritative in 28%, obstructive in 11%, and both symptoms in 21%. The frequency of urinary symptoms statistically correlated with severity of the disease, but not with the duration of illness and no sexual difference was noted. A urodynamic study was conducted in 39 patients and 7 had residual urine of 30 ml or more, 19 had detrusor hyperreflexia, 19 had a small bladder capacity and only 1 had detrusor-sphincter dyssynergia. The results indicate that the disturbed urine storage is more frequent and to a severer degree than that of urine evacuation in Parkinson's disease.
Hattori
T
T
Department of Neurology, Chiba University School of Medicine, Japan.
Yasuda
K
K
Kita
K
K
Hirayama
K
K
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010300:Parkinson Disease / Q000503:physiopathology*; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology; D016055:Urinary Retention / Q000503:physiopathology; D014555:Urination Disorders / Q000503:physiopathology*; D014563:Urodynamics / Q000502:physiology*