Del Popolo Giulio, Panariello Giovanni, Del Corso Francesca, De Scisciolo Giuseppe, Lombardi Giuseppe
Careggi University Hospital, Largo Palagi 1, 50139, Florence, Italy.
Neurol Sci. 2008 Dec;29 Suppl 4:S352-5. doi: 10.1007/s10072-008-1042-y.
Neurogenic lower urinary tract dysfunctions are common in patients with multiple sclerosis and for most of them urinary dysfunction has the most negative impact on their social life. No correlation exists between clinical urinary symptoms and urodynamic patterns. Abnormal urodynamic patterns may be present in asymptomatic patients. Both clinical and urodynamic findings may change during the course of the illness. Early diagnostic approach and scheduled follow-ups are mandatory in order to prevent upper urinary tract complications and improve quality of life (QoL).
神经源性下尿路功能障碍在多发性硬化症患者中很常见，对大多数患者而言，排尿功能障碍对其社交生活的负面影响最大。临床排尿症状与尿动力学模式之间不存在相关性。无症状患者可能存在异常尿动力学模式。在疾病过程中，临床和尿动力学检查结果都可能发生变化。为预防上尿路并发症并提高生活质量（QoL），早期诊断方法和定期随访是必不可少的。
