Overactive bladder symptoms in patients with multiple sclerosis: Frequency, severity, diagnosis and treatment

Objective: To determine the frequency and severity as well as the diagnosis and treatment of overactive bladder problems in patients with multiple sclerosis (MS) followed up at five centers in Turkey. Design: Survey study. Setting: Outpatient tertiary clinics of physical medicine and rehabilitation and neurology. Participants: Consecutive MS patients scheduled for outpatient follow-up (n= 309). Intervention: MS patients were asked to complete a questionnaire regarding the frequency and severity, as well as the diagnosis and treatment of their overactive bladder problems. Results: The mean age±SD was 39.3±10.6 years. Urinary urgency was the most common urinary symptom (62%), followed by frequency (50.4%), urge incontinence (44.7%) and nocturia (33%). Residual urine volume was measured using a portable ultrasound instrument in 13.3% of the patients and by catheterization in 16.2% of them. Urodynamic investigations and urinary tract ultrasound were performed on 26.5% and 35.3% of the patients, respectively. Anticholinergic medications were prescribed for 27.5% of the patients. Intermittent catheterization and indwelling catheterization were used on 8.1% and 1.9% of the patients, respectively. The overactive bladder symptom score (OABSS) was significantly higher in patients who had had residual urine measurement (P<0.001), upper urinary tract assessment by ultrasound (P<0.001), urodynamic assessment (P<0.001), admitted to a doctor for urinary symptoms (P<0.001), and current or past catheter use (P=0.002). Conclusion: Urgency was the most common urinary symptom followed by frequency, urge incontinence and nocturia in MS patients. The patients with lower OABSS had detailed urological assessments less frequently than the patients with higher OABSS. © The Academy of Spinal Cord Injury Professionals, Inc. 2015.

Yazar Akkoç Y.
Ersöz M.
Yüceyar N.
Tunç H.
Köklü K.
Yoldaş T.K.
Dönmez Ü.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/6897
Tek Biçim Adres 10.1179/2045772315Y.0000000021
Konu Başlıkları Indwelling catheterization
Intermittent catheterization
Multiple sclerosis
Neurogenic bladder
Urinary symptom
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
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Dergi Adı Journal of Spinal Cord Medicine
Dergi Cilt Bilgisi 39
Dergi Sayısı 2
Sayfalar 229 - 233
Yayın Yılı 2016
Eser Adı
[dc.title]
Overactive bladder symptoms in patients with multiple sclerosis: Frequency, severity, diagnosis and treatment
Yazar
[dc.contributor.author]
Akkoç Y.
Yazar
[dc.contributor.author]
Ersöz M.
Yazar
[dc.contributor.author]
Yüceyar N.
Yazar
[dc.contributor.author]
Tunç H.
Yazar
[dc.contributor.author]
Köklü K.
Yazar
[dc.contributor.author]
Yoldaş T.K.
Yazar
[dc.contributor.author]
Dönmez Ü.
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
Taylor and Francis Ltd.
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: To determine the frequency and severity as well as the diagnosis and treatment of overactive bladder problems in patients with multiple sclerosis (MS) followed up at five centers in Turkey. Design: Survey study. Setting: Outpatient tertiary clinics of physical medicine and rehabilitation and neurology. Participants: Consecutive MS patients scheduled for outpatient follow-up (n= 309). Intervention: MS patients were asked to complete a questionnaire regarding the frequency and severity, as well as the diagnosis and treatment of their overactive bladder problems. Results: The mean age±SD was 39.3±10.6 years. Urinary urgency was the most common urinary symptom (62%), followed by frequency (50.4%), urge incontinence (44.7%) and nocturia (33%). Residual urine volume was measured using a portable ultrasound instrument in 13.3% of the patients and by catheterization in 16.2% of them. Urodynamic investigations and urinary tract ultrasound were performed on 26.5% and 35.3% of the patients, respectively. Anticholinergic medications were prescribed for 27.5% of the patients. Intermittent catheterization and indwelling catheterization were used on 8.1% and 1.9% of the patients, respectively. The overactive bladder symptom score (OABSS) was significantly higher in patients who had had residual urine measurement (P<0.001), upper urinary tract assessment by ultrasound (P<0.001), urodynamic assessment (P<0.001), admitted to a doctor for urinary symptoms (P<0.001), and current or past catheter use (P=0.002). Conclusion: Urgency was the most common urinary symptom followed by frequency, urge incontinence and nocturia in MS patients. The patients with lower OABSS had detailed urological assessments less frequently than the patients with higher OABSS. © The Academy of Spinal Cord Injury Professionals, Inc. 2015.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Indwelling catheterization
Konu Başlıkları
[dc.subject]
Intermittent catheterization
Konu Başlıkları
[dc.subject]
Multiple sclerosis
Konu Başlıkları
[dc.subject]
Neurogenic bladder
Konu Başlıkları
[dc.subject]
Urinary symptom
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1079-0268
İlk Sayfa Sayısı
[dc.identifier.startpage]
229
Son Sayfa Sayısı
[dc.identifier.endpage]
233
Dergi Adı
[dc.relation.journal]
Journal of Spinal Cord Medicine
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
39
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1179/2045772315Y.0000000021
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/6897
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
16
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 06:30
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Tıklayınız
patients urinary frequency overactive bladder ultrasound followed symptom catheterization common incontinence higher severity nocturia assessment diagnosis treatment problems respectively (OABSS) Objective indwelling prescribed medications Anticholinergic Intermittent urodynamic significantly Professionals Injury Spinal Academy frequently assessments urological
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