AI Article Synopsis
- The most common lower urinary tract symptoms (LUTS) in multiple sclerosis (MS) include irritative, obstructive, or mixed types, depending on the location of lesions in the nervous system.
- Irritative LUTS are usually seen in patients with cortical, brainstem, or mild spinal cord lesions, while obstructive symptoms are more prevalent in those with spinal cord lesions below the pontine micturition center or at the sacral level.
- Effective management of these symptoms can often be accomplished following recommended procedures without needing specialized assessments, as outlined by the International Consultation on Incontinence.
Article Abstract
The most common lower urinary tract symptoms (LUTS) in multiple sclerosis (MS) are irritative, obstructive or mixed (association of irritative and obstructive LUTS). Generally irritative LUTS are typical in patients with cortical, brainstem or mild spinal cord lesions; obstructive symptoms are frequent in patients with spinal cord lesions (below the pontine micturition centre) or at the level of the sacral micturition centre. Irritative LUTS are often associated with detrusor overactivity, whereas obstructive LUTS are associated with detrusor sphincter dyssynergia or detrusor areflexia/hypocontractility. Proper management of these LUTS often could be planned without specialised assessment, in accordance with the algorithms proposed by International Consultation on Incontinence.
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| http://dx.doi.org/10.1007/s10072-008-1041-z | DOI Listing |
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