URINARY SYMPTOMS IN PATIENTS WITH MULTIPLE SCLEROSIS. AS UROLOGISTS, ARE WE IMPORTANT IN THE ALGORITHM OF SPECIALIZED CARE OF PATIENT WITH MULTIPLE SCLEROSIS?

Czech version

Authors: Zuzana Vaľová; Libor Zámečník; Roman Sobotka; Yvona Pichlíková; Květoslav Novák; Tomáš Hanuš
Authors‘ workplace: Urologická klinika VFN a 1. LF UK, Praha
Published in: Ces Urol 2016; 20(4): 259-274
Category: Review article

Overview

Major statement:
This article summarizes the basic information about urological complications of multiple sclerosis diagnosis and treatment of urological symptoms of this disease.

Multiple sclerosis (MS) is a serious autoimmune disease of the central nervous system (CNS) of young patients. Untreated patients experience marked disability and serious deterioration of their socio-economic status and quality of life. Physiological CNS environment is disturbed by two processes – the formation of focal demyelinating plaques and diffuse CNS involvement.

From the urological point of view, an important fact is that almost in all patients with MS the structures involved in the innervation of the lower urinary tract are eventually involved, which is reflected by voiding problems being among the common symptoms of MS.

The aim of this work is to summarize the information about multiple sclerosis from the urological perspective and consider the resulting algorithm of specialized care especially with regard to noninvasive and mini-invasive possibilities.

Key words:
Voiding dysfunction, postvoiding residual urine, multiple sclerosis, urodynamics.

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