Specificity of Lower Urinary Tract Symptoms in Neuromyelitis Optica in Comparison With Multiple Sclerosis Patients / 대한배뇨장애요실금학회지
International Neurourology Journal
;
: 185-191, 2018.
Article
in English
| WPRIM
| ID: wpr-716840
ABSTRACT
PURPOSE:
The aim of this study was to describe lower urinary tract symptoms in neuromyelitis optica (NMO), and to compare these data with urinary disorders observed in multiple sclerosis (MS) patients.METHODS:
Retrospective study of data collected from January 1997 to July 2017 using the database from a Neuro-Urology Department of a university hospital. NMO and MS patients were matched for sex, age, and Expanded Disability Status Scale (EDSS)RESULTS:
Twenty-six patients with NMO were included and compared with 33 MS patients. Mean age was 41.6 years (standard deviation [SD], 14,8), mostly female patients (24 vs. 2 males). Mean EDSS was 4.6 (SD, 1.8) in the 2 groups. In NMO group, 57% of the patients (n=15) had overactive bladder with urgency and urge incontinence and 38.5% (n=10) of them had nocturia. Voiding symptoms was observed in 69.2% of the patients (n=18); 42.3% of NMO patients performed self-intermittent catheterization versus 12.1% in MS patients (P=0.012). Low bladder compliance and severe urinary tract infections (pyelonephritis) were more frequent in NMO than in MS patients (respectively 15% vs. 0%, P=0.016 and 42% vs. 12%, P=0.024).CONCLUSIONS:
Lower urinary tract symptoms, especially overactive bladder and urinary retention, are frequent in NMO. Low bladder compliance, serious urinary infections, and high prevalence of urinary retention requiring self-intermittent catheterization are the main symptoms significantly more frequent than in MS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Urinary Tract Infections
/
Urinary Bladder
/
Catheterization
/
Prevalence
/
Retrospective Studies
/
Urinary Retention
/
Sensitivity and Specificity
/
Neuromyelitis Optica
/
Compliance
/
Urinary Bladder, Overactive
Type of study:
Diagnostic study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Female
/
Humans
Language:
English
Journal:
International Neurourology Journal
Year:
2018
Type:
Article
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