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Multiple Sclerosis and Lower Urinary Tract Symptoms: A Survey of Prevalence, Characteristic and Urological Evaluations Publisher



Sharifiaghdas F1 ; Narouie B2 ; Taheri M1 ; Jalali S3 ; Shalbafan B4 ; Azadvari M5 ; Dadpour M1 ; Rouientan H1 ; Ahmadzade M1 ; Hanafi Bojd H1
Authors
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Authors Affiliations
  1. 1. Department of Urology, Shahid Labbafinejad Medical Center, Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran
  3. 3. Faculty of land and food systems, University of British Colombia Vancouver, Vancouver, Canada
  4. 4. Clinical Research Development Unit of Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Department of Physical Medicine and Rehabilitation, Urology Research Center, Sina & Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: SAGE Open Medicine Published:2023


Abstract

Objective: Most multiple sclerosis patients have urological complications such as lower urinary tract symptoms. This study was conducted to evaluate the prevalence of these symptoms and whether they result in a urological evaluation. Methods: A cross-sectional study of 517 multiple sclerosis patients at Tehran’s referral multiple sclerosis center and neurology clinics between 2018 and 2022 was performed. Data were collected through interviews after patients completed informed consent forms. Urological examinations, including urine analysis and ultrasonography, were evaluated as final assessments. The data were analyzed using descriptive and inferential statistical tests in Statistical Package for Social Science. Results: Among all participants, the prevalence of lower urinary tract symptoms was 73% (n = 384), with urgency (44.8% n = 232) being the most common symptom. The prevalence of intermittency was significantly higher among women (p = 0.004). There was no gender-significant difference in terms of the prevalence of other symptoms (p > 0.050). Lower urinary tract symptoms were significantly correlated with age, clinical course, disease duration, and disability (p < 0.001). Additionally, 37.3% and 18.7% of patients with lower urinary tract symptoms, as well as 17.9% and 37.5% of patients with multiple sclerosis attacks, respectively, had undergone urine analysis and ultrasonography. Conclusion: Multiple sclerosis patients rarely undergo urological evaluations during the course of their disease. Proper assessment is essential as these symptoms are among the most detrimental manifestations of this disease. © The Author(s) 2023.
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