Overactive bladder symptoms in patients with multiple sclerosis: Frequency, severity, diagnosis and treatment

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dc.contributor.authorAkkoc, Yesim
dc.contributor.authorErsoz, Murat
dc.contributor.authorYuceyar, Nur
dc.contributor.authorTunc, Hakan
dc.contributor.authorKoklu, Kurtulus
dc.contributor.authorYoldas, Tahir Kurtulus
dc.contributor.authorDonmez, Ulku
dc.contributor.authorUzunkopru, Cihat
dc.contributor.authorAlemdaroglu, Ebru
dc.contributor.authorBilen, Sule
dc.contributor.authorEmre, Ufuk
dc.contributor.authorOtzdolap, Senay
dc.contributor.authorTuncay, Elif
dc.contributor.authorYucesan, Canan
dc.contributor.authorGok, Haydar
dc.contributor.authorErcan, Merve Bahar
dc.contributor.authorUygunol, Kursat
dc.contributor.authorKocer, Belgin
dc.contributor.authorZinnuroglu, Murat
dc.date.accessioned2019-10-27T23:11:02Z
dc.date.available2019-10-27T23:11:02Z
dc.date.issued2016
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: To determine the frequency and severity as well as the diagnosis and treatment of overactive bladder problems in patients with multiple sclerosis (MS) followed up at five centers in Turkey. Design: Survey study. Setting: Outpatient tertiary clinics of physical medicine and rehabilitation and neurology. Participants: Consecutive MS patients scheduled for outpatient follow-up (n=309). Intervention: MS patients were asked to complete a questionnaire regarding the frequency and severity, as well as the diagnosis and treatment of their overactive bladder problems. Results: The mean age +/- SD was 39.3 +/- 10.6 years. Urinary urgency was the most common urinary symptom (62%), followed by frequency (50.4%), urge incontinence (44.7%) and nocturia (33%). Residual urine volume was measured using a portable ultrasound instrument in 13.3% of the patients and by catheterization in 16.2% of them. Urodynamic investigations and urinary tract ultrasound were performed on 26.5% and 35.3% of the patients, respectively. Anticholinergic medications were prescribed for 27.5% of the patients. Intermittent catheterization and indwelling catheterization were used on 8.1% and 1.9% of the patients, respectively. The overactive bladder symptom score (OABSS) was significantly higher in patients who had had residual urine measurement (P<0.001), upper urinary tract assessment by ultrasound (P<0.001), urodynamic assessment (P<0.001), admitted to a doctor for urinary symptoms (P<0.001), and current or past catheter use (P=0.002). Conclusion: Urgency was the most common urinary symptom followed by frequency, urge incontinence and nocturia in MS patients. The patients with lower OABSS had detailed urological assessments less frequently than the patients with higher OABSS.en_US
dc.identifier.doi10.1179/2045772315Y.0000000021en_US
dc.identifier.endpage233en_US
dc.identifier.issn1079-0268
dc.identifier.issn2045-7723
dc.identifier.issue2en_US
dc.identifier.pmid25936385en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage229en_US
dc.identifier.urihttps://doi.org/10.1179/2045772315Y.0000000021
dc.identifier.urihttps://hdl.handle.net/11454/53005
dc.identifier.volume39en_US
dc.identifier.wosWOS:000373736400014en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Spinal Cord Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMultiple sclerosisen_US
dc.subjectNeurogenic bladderen_US
dc.subjectUrinary symptomen_US
dc.subjectIntermittent catheterizationen_US
dc.subjectIndwelling catheterizationen_US
dc.titleOveractive bladder symptoms in patients with multiple sclerosis: Frequency, severity, diagnosis and treatmenten_US
dc.typeArticleen_US

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