医学
逼尿肌括约肌协同失调
多发性硬化
协同失调
泌尿系统
上尿路
生活质量(医疗保健)
神经源性膀胱功能障碍
重症监护医学
尿道括约肌
泌尿科
神经系统疾病
外科
尿失禁
内科学
中枢神经系统疾病
精神科
护理部
作者
M. de Sèze,A. Ruffion,P. Denys,Pierre‐Alain Joseph,B. Perrouin-Verbe
标识
DOI:10.1177/1352458506075651
摘要
Vesicourethral dysfunction is very frequent in multiple sclerosis (MS) and has functional consequences for patients' quality of life and also an organic impact following complications of the neurogenic bladder on the upper urinary tract. While the functional impact and its management are well documented in the literature, the organic impact remains underestimated and there are no consensual practical guidelines for the screening and prevention of MS neurogenic bladder complications. The aim of this review of the literature, focused on identifying the risk factors of urinary tract complications in MS, is to put forward well informed considerations to help in the definition of practical guidelines for the follow-up of the neurogenic bladder in MS in order to improve its prevention and patient management. Four main risk factors have been identified for upper urinary tract damage: the duration of MS, the presence of an indwelling catheter, high-amplitude neurogenic detrusor contractions and permanent high detrusor pressure. Detrusor-sphincter dyssynergia, age over 50 and male sex may form three additional risk factors. Recommendations for long-term urological follow-up, taking into account these specific risks are constructed according to the procedures recommended by the French Health Authorities. Multiple Sclerosis 2007; 13: 915-928. http://msj.sagepub.com
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