MULTIPLE SCLEROSIS-BLADDER DYSFUNCTION

SUMMARY

1. Symptomatic dysfunction occurs in most MS patients.
2. UMN and LMN patterns are possible, but UMN patterns predominate.

PATTERNS
3. UMN pattern of dysfunction: frontal uninhibited detrusor contraction, parasympathetic hyperreflexia, pelvic floor spasticity.
4. LMN pattern of dysfunction: atonic bladder, pelvic floor laxity.

URODYNAMICS
5. Most common urodynamic lesion: detrusor hyperreflexia, decreased bladder capacity, increased intravesical pressure.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].