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Titolo:
Urodynamic pattern chances in multiple sclerosis
Autore:
Ciancio, SJ; Mutchnik, SE; Rivera, VM; Boone, TB;
Indirizzi:
Baylor Coll Med, Scott Dept Urol, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 ott Dept Urol, Houston, TX 77030 USA Baylor Coll Med, Dept Neurol, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 , Dept Neurol, Houston, TX 77030 USA
Titolo Testata:
UROLOGY
fascicolo: 2, volume: 57, anno: 2001,
pagine: 239 - 245
SICI:
0090-4295(200102)57:2<239:UPCIMS>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
URINARY-TRACT DYSFUNCTION; VESICOURETHRAL DYSFUNCTION; NEUROGENIC BLADDER; ABNORMALITIES; DETRUSOR; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Boone, TB 6560 Fannin,Suite 2100, Houston, TX 77030 USA 6560 Fannin,Suite2100 Houston TX USA 77030 uston, TX 77030 USA
Citazione:
S.J. Ciancio et al., "Urodynamic pattern chances in multiple sclerosis", UROLOGY, 57(2), 2001, pp. 239-245

Abstract

Objectives. Multiple sclerosis (MS) causes neurologic symptoms to change over time. Voiding dysfunction is common in patients with MS, and few studies have examined the changes in urodynamic patterns in these patients over time. The purpose of this study was to examine the frequency and nature of urodynamic pattern changes in patients with MS who underwent two or more urodynamic studies. Methods. Twenty-two patients (7 men and 15 women) with well-documented MS were referred to one urologist (T.B.B.) for evaluation of lower urinary tract symptoms. All patients had undergone two or more urodynamic evaluations during a 14-year period for persistent or new symptoms, and a retrospectivecomparison was made among the urodynamic test results. Results. Overall, 12 (55%) of 22 patients experienced a change in their urodynamic patterns and/or compliance during a mean follow-up interval of 42 /- 45 months between the urodynamic studies. Most patients initially had urodynamic patterns showing detrusor hyperreflexia, detrusor external sphincter dyssynergia, or detrusor hypocontractility. Fourteen (64%) of the 22 patients studied had the same or worsening of the same symptoms and 8 (36%) of 22 had new urologic symptoms. Six (43%) of 14 patients with no new symptoms and 6 (75%) of 8 with new symptoms had significant changes found with follow-up urodynamic testing. Conclusions. A significant proportion of patients with MS with and withoutnew urinary symptoms will develop changes in their underlying urodynamic patterns and detrusor compliance. Therefore, urodynamic evaluations should be repeated at regular intervals in symptomatic patients to optimize clinical management, reduce complications, and better enable these patients to manage their neurogenic bladder dysfunction. UROLOGY 57: 239-245, 2001. (C) 2001, Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 09:43:45