Clinical assessment of pelvic floor dysfunction in multiple sclerosis: urodynamic and neurological correlates.
We present a study on the clinical assessment of pelvic floor dysfunction in 30 female patients with proven multiple sclerosis (MS). A scoring system for pelvic floor muscle testing by digital vaginal palpation is proposed. The concept of pelvic floor spasticity in MS is introduced. The relationship of our findings with the neurological findings and urodynamic data is presented. Pelvic floor spasticity correlates well with the presence of detrusor-external sphincter dyssynergia and with more severe spinal cord disease.
Department of Urology, Catholic University of Leuven, UZ Gasthuisberg, Belgium.
D
D
De Ridder
C
C
Vermeulen
E
E
De Smet
H
H
Van Poppel
P
P
Ketelaer
L
L
Baert
D005260:Female; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications / Q000503:physiopathology*; D009119:Muscle Contraction / Q000502:physiology; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology; D009420:Nervous System / Q000503:physiopathology*; D010173:Palpation; D017773:Pelvic Floor / Q000503:physiopathology*; D014563:Urodynamics / Q000502:physiology*; D014621:Vagina / Q000503:physiopathology