TY - JOUR
T1 - Urodynamics in the evaluation of the patient with multiple sclerosis
T2 - When are they helpful and how do we use them?
AU - Dillon, Benjamin E.
AU - Lemack, Gary E.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/8
Y1 - 2014/8
N2 - Multiple sclerosis (MS) is an autoimmune inflammatory disease that results in damage to the myelin sheaths of the nerves in the central nervous system. Urinary urgency, frequency, and urgency incontinence are the most common symptoms, occurring in 37% to 99% of patients. Voiding symptoms (hesitancy, feeling of incomplete bladder emptying, and occasionally urinary retention) are also common in this population, occurring in 34% to 79% of patients. Traditionally, filling cystometry combined with pressure/flow studies has been a cornerstone of the initial evaluation of all patients with neurogenic lower urinary tract dysfunction, although recently that practice has been challenged.
AB - Multiple sclerosis (MS) is an autoimmune inflammatory disease that results in damage to the myelin sheaths of the nerves in the central nervous system. Urinary urgency, frequency, and urgency incontinence are the most common symptoms, occurring in 37% to 99% of patients. Voiding symptoms (hesitancy, feeling of incomplete bladder emptying, and occasionally urinary retention) are also common in this population, occurring in 34% to 79% of patients. Traditionally, filling cystometry combined with pressure/flow studies has been a cornerstone of the initial evaluation of all patients with neurogenic lower urinary tract dysfunction, although recently that practice has been challenged.
KW - Multiple sclerosis
KW - Urinary tract dysfunction
KW - Urodynamic studies
UR - http://www.scopus.com/inward/record.url?scp=84904758586&partnerID=8YFLogxK
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U2 - 10.1016/j.ucl.2014.04.004
DO - 10.1016/j.ucl.2014.04.004
M3 - Review article
C2 - 25063600
AN - SCOPUS:84904758586
SN - 0094-0143
VL - 41
SP - 439
EP - 444
JO - Urologic Clinics of North America
JF - Urologic Clinics of North America
IS - 3
ER -