[Association between neurologic involvement and lower urinary tract dysfunction and their symptoms in patients with multiple sclerosis].
OBJECTIVE
To establish an association between different types and degrees of neurological involvement and lower urinary tract dysfunctions and their symptoms in patients with multiple sclerosis.


METHODS
The studied group comprises 84 patients with multiple sclerosis with an average of 42.1 years in whom neurological and urological functional involvement had been evaluated. Neurological involvement had been evaluated using Expanded Disability Status Scale (EDSS) score; urinary tract dysfunctions have been diagnosed by urodynamic examinations and lower urinary tract symptoms (LUTS) using the micturition questionnaire.


RESULTS
1) An association between neurological involvement and lower urinary tract dysfunctions: detrusor hyperreflexia depends on the degree of pyramidal system involvement and the presence of detrusor-sphincter dyssynergia depends on overall disability and the degree of pyramidal system involvement. 2) An association between lower urinary tract dysfunctions and LUTS: obstructive symptoms depend on the presence of detrusor-sphincter dyssynergia. 3) An association between neurological involvement and LUTS has not been established.


CONCLUSIONS
An association between neurological involvement, lower urinary tract dysfunctions and their symptoms has been found. Based on this knowledge, it is possible to simplify the diagnostic and therapeutic approaches in certain groups of patients.
Zachoval
Roman
R
Département d'Urologie, Université Charles, Srobarova 50, 10034 Prague 10, République tchèque. zachoval@fnkv.cz
Palascak
Paul
P
Urban
Michael
M
Zalesky
Miroslav
M
Heracek
Jiri
J
Lukes
Martin
M
D006233:Persons with Disabilities; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications / Q000503:physiopathology*; D009420:Nervous System / Q000503:physiopathology*; D014551:Urinary Tract / Q000503:physiopathology*; D014570:Urologic Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*