[Vesico-sphinteral disorders in multiple sclerosis: value of urodynamic tests].
Vesicosphincteric disorders are frequent in multiple sclerosis and lead to the diagnosis of this disease in 2 to 5% of cases. The clinical signs are dominated by urgency (60 to 80%), frequency (40 to 60%) and incontinence due to vesical disinhibition. Dysuria (15 to 30%) occurs in an areflexive or hyperactive bladder, associated with vesicosphincteric dyssnergia. These signs are frequently associated (50 to 80%). Cystomanometry shows detrusor hyperactivity in 50 to 78% of cases and hypoactivity in 20 to 40% of cases and dyssnergia is frequent (50 to 80%). There is no correlation between the clinical and urodynamic signs. Consequently, urodynamic studies are useful for establishing a precise urological diagnosis and to prescribe adapted and early treatment due to the long-term risk of upper tract damage.
Delepaul
B
B
Service de Chirurgie Urologique, Hôpitaux Universitaires de Strasbourg.
Saussine
C
C
Jacqmin
D
D
D004594:Electrophysiology; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications* / Q000503:physiopathology; D011379:Prognosis; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014563:Urodynamics
Troubles vésico-sphinctériens au cours de la sclérose en plaques: intérêt des examens urodynamiques.