CLINICAL-ASSESSMENT OF PELVIC FLOOR DYSFUNCTION IN MULTIPLE-SCLEROSIS- URODYNAMIC AND NEUROLOGICAL CORRELATES

We present a study on the clinical assessment of pelvic floor dysfunct ion in 30 female patients with proven multiple sclerosis (MS). A scori ng system for pelvic floor muscle testing by digital vaginal palpation is proposed. The concept of pelvic floor spasticity in MS is introduc ed. The relationship of our findings with the neurological findings an d urodynamic data is presented. Pelvic floor spasticity correlates wel l with the presence of detrusor-external sphincter dyssynergia and wit h more severe spinal cord disease. (C) 1998 Wiley-Liss, Inc.