Urinary Symptoms in Multiple Sclerosis: Relation with Urodynamic Findings and Impact on Patient’s Quality of Life

Authors : Ulas SUNGUR, Yesim AKKOC, Nur YUCEYAR, Ozgul EKMEKCİ

Pages : 143-150

Doi:10.33808/clinexphealthsci.564239

View : 15 | Download : 5

Publication Date : 2019-06-30

Article Type : Research Paper

Abstract :Objective: We aimed to investigate the correlations of urinary symptoms with urodynamic findings in patients with multiple sclerosis insert ignore into journalissuearticles values(MS); and their effects on quality of life. Methods: Nineteen MS patients with urinary symptoms were included. The data were obtained from files or with face-to-face interviews. Symptom types of patients were categorized as irritative, obstructive, and mixed. The Incontinence Quality of Life Scale, the King’s Quality of Life Questionnaire insert ignore into journalissuearticles values(KQL); and the International Consultation on Incontinence Modular Questionnaire-Short Form were used to determine the effect of urinary symptoms on quality of life. The Extended Disability Status Scale insert ignore into journalissuearticles values(EDSS); was used to assess disability. All patients underwent urodynamic examination. Results: The most frequent finding in urodynamic testing was detrusor overactivity insert ignore into journalissuearticles values(57.9%); while 26.3% had normal urodynamics. EDSS score did not correlate with urinary symptoms or urodynamic findings; it correlated only with the “Role limitation” subscale of the quality of life scales. While there was no relationship between symptom type and quality of life, the rate of detection of pathological findings on urodynamic examination and the bladder capacity in patients with mixed-type symptoms were significantly higher than the patients with irritative symptoms insert ignore into journalissuearticles values(p<0.05);. The ‘’Emotions’’ and ‘’Sleep/Energy’’ subscale scores of the KQL were significantly higher in patients with abnormal urodynamic test compared with those without urodynamic pathology. Conclusion: The urinary symptoms significantly affect the quality of life in MS patients. Since symptoms do not always correlate with the underlying pathology, it is more appropriate to give the treatment based on the bladder type in urodynamic testing.
Keywords : Multiple sclerosis, neurogenic bladder dysfunction, quality of life, urodynamic findings