Objectives: The aim of this study is to evaluate the urodynamic detected bladder dysfunction in relapsing remitting Multiple Sclerosis patients with mild or without lower urinary tract symptoms.
Material and methods: This a prospective study for 32 patients with relapsing remitting Multiple Sclerosis from January 2017 to June 2018. Inclusion criteria were patients with mild or without lower urinary tract symptoms and mild disability. Urodynamic studies were performed for all patients with recording: cystometric capacity; detrusor overactivity; bladder compliance and voiding parameters as detrusor underactivity or detrusor external sphincter dyssynergia.
Results: Urodynamic abnormalities were detected in 22 patients (69%). Detrusor overactivity (DO) was the most prevalent either alone in 8 patients (25%); combined with detrusor external sphincter dyssynergia in 8 patients (25%); DO with low compliant bladder and impaired contractility in another 4 patients (13%) DO with low complaint bladder in 2 patients (6%). Bladder dysfunction was statistically significant associated to high disability score; longer duration of illness; and frequent number of attacks and the presence of lower urinary tract symptoms.
Conclusion: Urodynamic abnormalities were found in69% of our patients. This highlight the importance of urodynamic in early evaluation of relapsing remitting Multiple Sclerosis.
Keywords: Urodynamic; Bladder dysfunction; Multiple Sclerosis.