Amarenco G, de Sèze M, Ruffion A, Sheikh Ismael S
Sorbonne universités, UPMC université Paris-6, GRC n(o) 01 GREEN (Group of Clinical Research in Neuro-Urology), 4, place Jussieu, 75252 Paris cedex 05, France; Service de neuro-urologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
Clinique Saint-Augustin, 114, avenue d'Ares, 33000 Bordeaux, France.
Ann Phys Rehabil Med. 2014 Jul;57(5):277-287. doi: 10.1016/j.rehab.2014.05.006. Epub 2014 Jun 5.
Urinary dysfunction is a major clinical problem and a significant cause of disability in multiple sclerosis (MS) patients. Indeed, the bothersome symptom of urinary dysfunction may adversely affect social relationships and activities in MS patients. Since many causes of urinary dysfunction are described, a thorough evaluation including history, clinical examination and evaluation of quality of life is necessary. Generally, diagnosis of urinary disorders is complex with intricated pathophysiologic factors. In these cases, urodynamic investigations are necessary to better understand symptoms pathophysiology and choose the best treatment.
排尿功能障碍是多发性硬化症（MS）患者的一个主要临床问题，也是导致残疾的重要原因。事实上，排尿功能障碍这一令人困扰的症状可能会对MS患者的社会关系和活动产生不利影响。由于排尿功能障碍的病因众多，因此有必要进行全面评估，包括病史、临床检查和生活质量评估。一般来说，排尿障碍的诊断因病理生理因素错综复杂而较为复杂。在这些情况下，尿动力学检查对于更好地理解症状的病理生理学和选择最佳治疗方法是必要的。
