title: Stress Urinary Incontinence in Women With Multiple Sclerosis.
abstract: OBJECTIVE
  To report the prevalence and risk factors of stress urinary incontinence (SUI) and the prevalence of intrinsic sphincter deficiency in women with multiple sclerosis (MS).
  
  
  METHODS
  We conducted a retrospective study. Female patients with MS, followed for lower urinary tract symptoms (LUTS) during a 15-year period were included. Demographic data, MS history, expanded disability status scale (EDSS) score at the urodynamic visit, obstetrical past, birth weight, LUTS, and urodynamic findings were collected. SUI was defined as incontinence during cough, or any effort. A maximum urethral closure pressure less than 30 cm H2O defined intrinsic sphincter deficiency.
  
  
  RESULTS
  We included 363 women with a mean age of 46.7±10.8 years and a mean disease duration of 12.9±8.7 years. The incidence of relapsing remitting MS, a secondary progressive form, and a primary progressive form was 60.6%, 32.8%, and 6.6%, respectively. The prevalence of SUI was 31.4%. The prevalence of intrinsic sphincter deficiency was 1.4% and 0.8% of these patients had a SUI (P=0.300). In a multivariate analysis, women with a SUI had significantly higher birth weight (P=0.030), a pelvic organ prolapse (P=0.021), urgent urinary incontinence (P=0.006), a lower EDSS score (P=0.019), and a weaker containing effort (P<0.001).
  
  
  CONCLUSIONS
  The prevalence of SUI in women with MS was 31.4%. This symptom could affect the quality of life of women with MS.
authors.affiliation: Department of Physical and Rehabilitation Medicine, Saint Philibert Hospital, Lille, France.
authors.forename: Caroline
authors.identifier: 0000-0001-6246-4749
authors.initials: C
authors.lastname: Massot
authors.affiliation: Department of Physical and Rehabilitation Medicine, Saint Philibert Hospital, Lille, France.
authors.forename: Hichem
authors.identifier: 0000-0002-1862-1345
authors.initials: H
authors.lastname: Khenioui
authors.affiliation: Department of Physical and Rehabilitation Medicine, Saint Philibert Hospital, Lille, France.
authors.forename: Olivier
authors.identifier: 0000-0003-2659-4997
authors.initials: O
authors.lastname: Agnani
authors.affiliation: Department of Physical and Rehabilitation Medicine, Saint Philibert Hospital, Lille, France.
authors.forename: Marc-Alexandre
authors.identifier: 0000-0001-5733-2055
authors.initials: MA
authors.lastname: Guyot
authors.affiliation: Department of Neurology, Saint Philibert Hospital, Lille, France.
authors.forename: Patrick
authors.identifier: 0000-0003-4419-6482
authors.initials: P
authors.lastname: Hautecoeur
authors.affiliation: Department of Physical and Rehabilitation Medicine, Saint Philibert Hospital, Lille, France.
authors.forename: Cécile
authors.identifier: 0000-0001-7884-5845
authors.initials: C
authors.lastname: Donze
keywords: Lower Urinary Tract Symptoms; Multiple Sclerosis; Urinary Incontinence, Stress