Key clinical point: Higher Expanded Disability Status Scale (EDSS) score is associated with an unfavorable urologic course in patients with multiple sclerosis (MS), and increased postvoid residual volume (PVR) correlates with male gender, EDSS, and disease course.
Major finding: The presence of lower urinary tract symptoms (LUTS) was more frequently associated with a primary progressive disease course ( P = .040), a higher level of disability (mean EDSS of 6.4, P = .011), and urinary tract infection ( P = .002). PVR values were higher in patients with LUTS vs. those without ( P = .011). Increased PVR correlated with male gender ( P less than .001), EDSS score ( P = .005), and disease course ( P = .041). Higher PVR correlated with incontinence ( P = .007), chronic urinary retention ( P less than .001), incomplete emptying ( P = .015), and diminished stream intensity ( P = .040).
Study details: The findings are based on a study of 501 patients with clinically definite MS (68.9% females; mean age: 56.0 ± 12.3 years).
Disclosures: No study sponsor was identified. The authors declared no conflicts of interest.
Citation: Monti Bragadin M et al. Mult Scler Relat Disord. 2020 Jul 5. doi: 10.1016/j.msard.2020.102378.