Relation between objective and subjective measures of bladder dysfunction in multiple sclerosis.

Kragt, J Jolijn; Hoogervorst, Erwin L J; Uitdehaag, Bernard M J; Polman, Chris H · Neurology · 2004

cross_sectional · Level IV

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Abstract

The authors studied 297 patients with multiple sclerosis (MS), correlating urinary symptoms (bowel/bladder Functional System [FS] score of the Expanded Disability Status Scale [EDSS] and bladder dysfunction score of the Guy's Neurological Disability Scale [GNDS[) vs objective measurement of bladder dysfunction (postmicturition residual volume). EDSS and GNDS were of no value for predicting the presence of a clinically relevant postvoiding volume. Therefore, the authors recommend ultrasound scanning of residual volume in every patient with MS, even in the absence of subjective urinary symptoms.

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