title: [Association between neurologic involvement and lower urinary tract dysfunction and their symptoms in patients with multiple sclerosis].
abstract: 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.
authors.affiliation: Département d'Urologie, Université Charles, Srobarova 50, 10034 Prague 10, République tchèque. zachoval@fnkv.cz
authors.forename: Roman
authors.initials: R
authors.lastname: Zachoval
authors.forename: Paul
authors.initials: P
authors.lastname: Palascak
authors.forename: Michael
authors.initials: M
authors.lastname: Urban
authors.forename: Miroslav
authors.initials: M
authors.lastname: Zalesky
authors.forename: Jiri
authors.initials: J
authors.lastname: Heracek
authors.forename: Martin
authors.initials: M
authors.lastname: Lukes
mesh_terms: 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*