Chapitre C - Troubles vésico-sphinctériens et sclérose en plaques

Bart, S.; M, de Sèze; Chartier‐Kastler, Emmanuel; Ruffion, A.

doi:10.1016/s1166-7087(07)92330-1

Cited by 10 publications

(6 citation statements)

References 54 publications

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“…In the literature, the estimated prevalence of hydronephrosis is comparable with 12.1% in a population of patients suffering from MS . However, lithiasis is less frequent in MS patients than in our HSP cohort, ranging from 2% to 10%, which could be explained by the initial lack of follow‐up of our patients . Seventeen percent of renal failure was found, which is comparable to Castel‐Lacanal et al results in a cohort of MS patients.…”

Section: Discussionsupporting

confidence: 83%

Urological dysfunction in patients with hereditary spastic paraplegia

Joussain

Lévy

Charlanes

et al. 2019

Neurourology and Urodynamics

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Aims Purposes of this study were to describe lower urinary tract symptoms (LUTS) and related urodynamic patterns in patients with hereditary spastic paraplegia (HSP), and to characterize LUTS management and associated uronephrological complications. Methods We retrospectively reviewed medical files of HSP patients, consecutively followed in our Physical and Rehabilitation Medicine Department between 1999 and 2016. Clinical, urodynamic, and radiological data were collected and analyzed. Different treatments which have been prescribed and uronephrological complications were also recorded. Patients with other neurological or urological diseases were excluded. Results Thirty‐three patients with HSP were included. Mean duration of follow‐up was 8.1 ± 5 years, mean age 62 ± 14 years, and 70% were men. The most frequent LUTS was urgency and voiding dysfunction (both 69.7%). Incontinence and retention with a significant postvoid residue above 100 mL accounted for 66.7% and 57.6% of initial symptoms respectively. Neurogenic detrusor overactivity was diagnosed in 80.7% of patients. Two‐thirds of our cohort were treated with anticholinergics and 9.1% required intradetrusor botulinum‐toxin injections. Only 27.3% of patients performed clean intermittent self‐catheterization. Febrile urinary tract infections (21.2%), urolithiasis (15,1%), hydronephrosis (6%), and chronic renal failure (9.1%) were found. Conclusion Given their high prevalence and the risk of uronephrological complications, LUTS should be systematically assessed in HSP patients. The systematic screening of urological dysfunction in this population would improve its management, decrease the incidence of uronephrological complications, and increase the quality of life.

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Section: Discussionsupporting

confidence: 83%

Urological dysfunction in patients with hereditary spastic paraplegia

Joussain

Lévy

Charlanes

et al. 2019

Neurourology and Urodynamics

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“…Il comportait un bilan diagnostique sous forme de « check-list » très complète permettant à tout spécialiste d'avoir les éléments nécessaires au raisonnement et au bilan diagnostique. L'AFU a édité des recommandations pour les symptômes de vessie neurologique selon la maladie d'origine : sclérose en plaques [13], spina bifida et myéloméningocèle [14], maladie de Parkinson [15], accident vasculaire cérébral [16], diabète sucré [17]. Les recommandations du groupe d'étude de neurourologie de langue française (GENULF) tiennent compte des maladies spécifiques comme les lésions médullaires, le spina bifida [18] ou bien la sclérose en plaques [19].…”

Section: Résuméunclassified

Mise en évidence des différences de gestion des vessies neurologiques existantes entre urologues et médecins spécialisés en médecine physique et de réhabilitation : enquête réalisée auprès de 383 spécialistes

Denys

Soler²,

Fatton

et al. 2012

La Presse Médicale

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“…Lower urinary tract symptoms (LUTS) are well known and well described in MS. The most common symptom is overactive bladder syndrome with mostly an overactive detrusor on cystometry [ 5 , 6 ]. In contrary, only few studies described urinary disorders in NMOSD.…”

Section: Introductionmentioning

confidence: 99%

Specificity of Lower Urinary Tract Symptoms in Neuromyelitis Optica in Comparison With Multiple Sclerosis Patients

et al. 2018

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PurposeThe 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.MethodsRetrospective 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)ResultsTwenty-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).ConclusionsLower 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.

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Chapitre C - Troubles vésico-sphinctériens et sclérose en plaques

Cited by 10 publications

References 54 publications

Urological dysfunction in patients with hereditary spastic paraplegia

Urological dysfunction in patients with hereditary spastic paraplegia

Mise en évidence des différences de gestion des vessies neurologiques existantes entre urologues et médecins spécialisés en médecine physique et de réhabilitation : enquête réalisée auprès de 383 spécialistes

Specificity of Lower Urinary Tract Symptoms in Neuromyelitis Optica in Comparison With Multiple Sclerosis Patients

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