[Urologic complications of multiple sclerosis. 180 cases].
OBJECTIVE
The aim of this study was to assess frequency and importance of urological complications in multiple sclerosis.


METHODS
A total of 180 patients with multiple sclerosis (115 women, 64 men; mean disease duration 13.4 years) underwent the following examinations: neuroperineal examination, bladder and kidney echography, intravenous pyelography, creatinine assay, urodynamic investigation and sphincter electromyography.


RESULTS
Detrusor hyperreflexia (70%) and areflexia (15%) were the commonest findings on cystometry and correlated with clinical data (urinary incontinence in 62% and retention in 18%). Urologic complications were noted in 56% with benign lesions in 37% (diverticula, urinary infections) and serious lesions in 19% (hydronephrosis, pyelonephritis, renal reflux). No correlations were found between complications and dyssynergia, overactivity and urinary retention.


CONCLUSIONS
The presence of these complications suggests the need for frequent urodynamic and radiologic controls in patients with multiple sclerosis.
Amarenco
G
G
Service de Rééducation, Hôpital Robert Ballanger, Aulnay-sous-Bois.
Bosc
S
S
Boiteau
F
F
D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications* / Q000503:physiopathology; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014521:Urethra / Q000503:physiopathology; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000503:physiopathology; D014563:Urodynamics; D014570:Urologic Diseases / Q000209:etiology* / Q000503:physiopathology
Les complications urologiques de la sclérose en plaques. 180 cas.