Is it necessary to determine the frequency of urodynamics in patients suffering from lower urinary tract dysfunction due to multiple sclerosis?


Authors: G. Varga 1;  D. Pacík 1;  R. Wasserbauer 1;  T. Pavlík 2;  E. Janoušová 2;  P. Praksová 3
Authors‘ workplace: Urologická klinika LF MU a FN Brno 1;  Institut biostatistiky a analýz, LF a PřF MU, Brno 2;  Neurologická klinika LF MU a FN Brno 3
Published in: Urol List 2014; 12(3): 21-31

Overview

Lower urinary tract symptoms due to neurogenic dysfunction of the lower urinary tract (NDLUT) belong to symptoms that most often bother patients with multiple sclerosis (MS). If not treated properly, can lead to irreversible changes of the lower and upper urinary tract. NDLUT may also worsen the course of MS and general health disability. Current recommendations generated by ICS and EAU for monitor­ing patients with NDLUT are generally designed for patients with any neurological disabilities, but not for patients with MS. Our clinical observations indicate worsening of NDLUT in patients with MS in relation to the dynamic progression of the demyelinating disease. The aim of this prospective controlled study was to evaluate the parameters of urodynamic examinations in patients with MS in the timeline and create a recommendations for clinical practice.

Key words:
urodynamics, neurogenic lower urinary tract dysfunction, multiple sclerosis


Sources

1. Havrdová E. Roztroušená skleróza míšní. In: Neuroimunologie. Praha: Maxdorf 2001: 231– 269.

2. Khan F, Pallant JF, Pallant JI et al. A randomised controlled trial: outcomes of bladder rehabilitation in persons with multiple sclerosis. J Neurol Neurosurg Psychiatry 2010; 81(9): 1033– 1038. doi: 10.1136/ jnnp.2010.206623.

3. Khan F, Pallant JF, Shea TL et al. Multiple sclerosis: prevalence and factors impacting bladder and bowel function in an Australian community cohort. Disabil Rehabil 2009; 31(19): 1567– 1576.

4. Zachoval R, Záleský M, Lukeš M et al. Funkce dolních močových cest a jejich poruchy. Čes Fyziol 2000; 49(3): 134– 144.

5. Borello‑ France D, Dusi J, O‘Leary M et al. Test‑ retest reliability of the urge‑ urinary distress inventory and female sexual function index in women with multiple sclerosis. Urol Nurs 2008; 28(1): 30– 35.

6. Thüroff J, Abrams P, Andersson KE et al. Guidelines EAU pro léčbu močové inkontinence. Urol List 2008; 6(1): 97– 105.

Labels
Paediatric urologist Urology
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