URINARY TROUBLES IN MULTIPLE-SCLEROSIS, I NTEREST OF URODYNAMIC ASSESSMENT

Urinary troubles are common in patients with multiple sclerosis. The m anagement of these troubles requires an accurate analysis. Urodynamic assessment was preformed in 117 patients with urinary symptoms positiv ely diagnosed as suffering from multiple sclerosis. Urinary symptoms a re not always correlated to urodynamic patterns. We have studied the c orrelation between urinary symptoms and urodynamic findings. Urodynami c results are similar to most of previous series : detrusor hyperrefle xia is the most frequent abnormality, detrusor sphincter dyssynergia i s diagnosed in 50 % of the patients. There is some correlations with s ymptoms, but thre are insufficient for an accurate diagnosis. Postvoid residue for urinary tracts infectious diseases, and sphincter incompe tence for urinary incontinence are the main risk factors.