2005 issue 3


Volume 21, issue 3


Lower urinary tract disturbances in patients with multiple sclerosis

Lidia Darda-Ledzion1, Jacek Zaborski1, Anna Członkowska1
1. II Klinika Neurologiczna, Oddział Rehabilitacji Neurologicznej Instytutu Psychiatrii i Neurologii w Warszawie
Farmakoterapia w Psychiatrii i Neurologii, 2005, 3, 259-266
Keywords: multiple sclerosis, lower urinary tract dysfunction, diagnosis, and quality of life


The lower urinary tract dysfunction's symptoms are common in multiple sclerosis (MS) patients and may be the main cause of social disability.
The aim of this paper is to pay special attention to lead the correct assessment of bladder symptoms and their impact on quality of life. Symptoms of neurogenic bladder dysfunction were assessed with multilane questionnaire including irritative and obstructive symptoms and common accepted urological scores (I-PSS, Madsen, Boyarsky). Functional bladder capacity and post-void residual (PVR) volume were measured ultrasonographycally.
Lower urinary tract dysfunction can occur as isolated manifestation of MS or can occur in each time of disease independently of disability. Therefore appropriate diagnostic procedures should be performed in each M.S. patient. The diagnosis of dysfunction should lead to perform correct treatment to improve function, quality of live and prevent live threading complications.