Relation between objective and subjective measures of bladder dysfunction in multiple sclerosis.
The authors studied 297 patients with multiple sclerosis (MS), correlating urinary symptoms (bowel/bladder Functional System [FS] score of the Expanded Disability Status Scale [EDSS] and bladder dysfunction score of the Guy's Neurological Disability Scale [GNDS[) vs objective measurement of bladder dysfunction (postmicturition residual volume). EDSS and GNDS were of no value for predicting the presence of a clinically relevant postvoiding volume. Therefore, the authors recommend ultrasound scanning of residual volume in every patient with MS, even in the absence of subjective urinary symptoms.
Kragt
J Jolijn
JJ
Department of Neurology, VU University Medical Center, De Boelelaan 1117, PO Box 7057 1007 MB Amsterdam, The Netherlands. JJ.Kragt@vumc.nl
Hoogervorst
Erwin L J
EL
Uitdehaag
Bernard M J
BM
Polman
Chris H
CH
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009103:Multiple Sclerosis / Q000150:complications*; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000209:etiology; D014556:Urine