Stress Urinary Incontinence in Women With Multiple Sclerosis

Caroline Massot; Hichem Khenioui; Olivier Agnani; Marc-Alexandre Guyot; Patrick Hautecoeur; Cecile Donze

Stress Urinary Incontinence in Women With Multiple Sclerosis

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Type: Academic journal

Author: Caroline Massot Hichem Khenioui Olivier Agnani Marc-Alexandre Guyot Patrick Hautecoeur Cecile Donze

Journal: 대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제20권 제3호 KCI Accredited Journals

Published: 2016.1

Pages: 224 - 231 (8page)

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Stress Urinary Incontinence in Women With Multiple Sclerosis

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Purpose: To report the prevalence and risk factors of stress urinary incontinence (SUI) and the prevalence of intrinsic sphincter deficiency in women with multiple sclerosis (MS). Methods: We conducted a retrospective study. Female patients with MS, followed for lower urinary tract symptoms (LUTS) during a 15-year period were included. Demographic data, MS history, expanded disability status scale (EDSS) score at the urodynamic visit, obstetrical past, birth weight, LUTS, and urodynamic findings were collected. SUI was defined as incontinence during cough, or any effort. A maximum urethral closure pressure less than 30 cm H2O defined intrinsic sphincter deficiency. Results: We included 363 women with a mean age of 46.7±10.8 years and a mean disease duration of 12.9±8.7 years. The incidence of relapsing remitting MS, a secondary progressive form, and a primary progressive form was 60.6%, 32.8%, and 6.6%, respectively. The prevalence of SUI was 31.4%. The prevalence of intrinsic sphincter deficiency was 1.4% and 0.8% of these patients had a SUI (P=0.300). In a multivariate analysis, women with a SUI had significantly higher birth weight (P=0.030), a pelvic organ prolapse (P=0.021), urgent urinary incontinence (P=0.006), a lower EDSS score (P=0.019), and a weaker containing effort (P<0.001). Conclusions: The prevalence of SUI in women with MS was 31.4%. This symptom could affect the quality of life of women with MS.

#Urinary Incontinence #Stress #Multiple Sclerosis #Lower Urinary Tract Symptoms

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References (23)

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