Association Between the Neurogenic Bladder Symptom Score and Urodynamic Examination in Multiple Sclerosis Patients With Lower Urinary Tract Dysfunction
Identifieur interne : 000822 ( Main/Exploration ); précédent : 000821; suivant : 000823Association Between the Neurogenic Bladder Symptom Score and Urodynamic Examination in Multiple Sclerosis Patients With Lower Urinary Tract Dysfunction
Auteurs : Eugenia Fragalà [Italie] ; Giorgio Ivan Russo [Italie] ; Alessandro Di Rosa [Italie] ; Raimondo Giardina [Italie] ; Salvatore Privitera [Italie] ; Vincenzo Favilla [Italie] ; Francesco Patti [Italie] ; Blayne Welk [Canada] ; Sebastiano Cimino [Italie] ; Tommaso Castelli [Italie] ; Giuseppe Morgia [Italie]Source :
- International Neurourology Journal [ 2093-4777 ] ; 2015.
Abstract
To determine the relationship between the neurogenic bladder symptoms score (NBSS) and urodynamic examination in patients affected by multiple sclerosis (MS) and related lower urinary tract dysfunction (LUTD).
We recruited 122 consecutive patients with MS in remission and LUTD from January 2011 to September 2013 who underwent their first urodynamic examination. Neurological impairment was assessed using the Expanded Disability Status Scale (EDSS) and bladder symptoms were studied with the NBSS.
Median NBSS was 20.0 (interquartile range, 12.75–31.0). Neurogenic detrusor overactivity (NDO) was discovered in 69 patients (56.6%). The concordance between patients with NDO and maximum detrusor pressure during involuntary detrusor contraction (PdetmaxIDC)≥20.0 cm H2O was 0.89 (κ-Cohen; P<0.05). Patients with EDSS scores of ≥4.5 had a greater NBSS (25.41 vs. 20.19, P<0.05), NBSS-incontinence (8.73 vs. 4.71, P<0.05), NBSS-consequence (4.51 vs. 3.13, P<0.05) and NBSS-quality of life (2.14 vs. 1.65, P<0.05). The NBSS was not associated with PdetmaxIDC≥20 cm H2O (P=0.77) but with maximum cystometric capacity<212 mL (odds ratio, 0.95; P<0.05).
The NBSS cannot give adequate information the way urodynamic studies can, in patients with MS and LUTD.
Url:
DOI: 10.5213/inj.2015.19.4.272
PubMed: 26739182
PubMed Central: 4703935
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Association Between the Neurogenic Bladder Symptom Score and Urodynamic Examination in Multiple Sclerosis Patients With Lower Urinary Tract Dysfunction</title><author><name sortKey="Fragala, Eugenia" sort="Fragala, Eugenia" uniqKey="Fragala E" first="Eugenia" last="Fragalà">Eugenia Fragalà</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Russo, Giorgio Ivan" sort="Russo, Giorgio Ivan" uniqKey="Russo G" first="Giorgio Ivan" last="Russo">Giorgio Ivan Russo</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Di Rosa, Alessandro" sort="Di Rosa, Alessandro" uniqKey="Di Rosa A" first="Alessandro" last="Di Rosa">Alessandro Di Rosa</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Giardina, Raimondo" sort="Giardina, Raimondo" uniqKey="Giardina R" first="Raimondo" last="Giardina">Raimondo Giardina</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Privitera, Salvatore" sort="Privitera, Salvatore" uniqKey="Privitera S" first="Salvatore" last="Privitera">Salvatore Privitera</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Favilla, Vincenzo" sort="Favilla, Vincenzo" uniqKey="Favilla V" first="Vincenzo" last="Favilla">Vincenzo Favilla</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Patti, Francesco" sort="Patti, Francesco" uniqKey="Patti F" first="Francesco" last="Patti">Francesco Patti</name><affiliation wicri:level="1"><nlm:aff id="af2-inj-19-4-272">Department G.F. Ingrassia, Section of Neurosciences, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Welk, Blayne" sort="Welk, Blayne" uniqKey="Welk B" first="Blayne" last="Welk">Blayne Welk</name><affiliation wicri:level="1"><nlm:aff id="af3-inj-19-4-272">Division of Urology, Department of Surgery, Western University, London, ON,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cimino, Sebastiano" sort="Cimino, Sebastiano" uniqKey="Cimino S" first="Sebastiano" last="Cimino">Sebastiano Cimino</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Castelli, Tommaso" sort="Castelli, Tommaso" uniqKey="Castelli T" first="Tommaso" last="Castelli">Tommaso Castelli</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Morgia, Giuseppe" sort="Morgia, Giuseppe" uniqKey="Morgia G" first="Giuseppe" last="Morgia">Giuseppe Morgia</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26739182</idno><idno 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type="wicri:Area/Main/Exploration">000822</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Association Between the Neurogenic Bladder Symptom Score and Urodynamic Examination in Multiple Sclerosis Patients With Lower Urinary Tract Dysfunction</title><author><name sortKey="Fragala, Eugenia" sort="Fragala, Eugenia" uniqKey="Fragala E" first="Eugenia" last="Fragalà">Eugenia Fragalà</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Russo, Giorgio Ivan" sort="Russo, Giorgio Ivan" uniqKey="Russo G" first="Giorgio Ivan" last="Russo">Giorgio Ivan Russo</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Di Rosa, Alessandro" sort="Di Rosa, Alessandro" uniqKey="Di Rosa A" first="Alessandro" last="Di Rosa">Alessandro Di Rosa</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Giardina, Raimondo" sort="Giardina, Raimondo" uniqKey="Giardina R" first="Raimondo" last="Giardina">Raimondo Giardina</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Privitera, Salvatore" sort="Privitera, Salvatore" uniqKey="Privitera S" first="Salvatore" last="Privitera">Salvatore Privitera</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Favilla, Vincenzo" sort="Favilla, Vincenzo" uniqKey="Favilla V" first="Vincenzo" last="Favilla">Vincenzo Favilla</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Patti, Francesco" sort="Patti, Francesco" uniqKey="Patti F" first="Francesco" last="Patti">Francesco Patti</name><affiliation wicri:level="1"><nlm:aff id="af2-inj-19-4-272">Department G.F. Ingrassia, Section of Neurosciences, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Welk, Blayne" sort="Welk, Blayne" uniqKey="Welk B" first="Blayne" last="Welk">Blayne Welk</name><affiliation wicri:level="1"><nlm:aff id="af3-inj-19-4-272">Division of Urology, Department of Surgery, Western University, London, ON,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cimino, Sebastiano" sort="Cimino, Sebastiano" uniqKey="Cimino S" first="Sebastiano" last="Cimino">Sebastiano Cimino</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Castelli, Tommaso" sort="Castelli, Tommaso" uniqKey="Castelli T" first="Tommaso" last="Castelli">Tommaso Castelli</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Morgia, Giuseppe" sort="Morgia, Giuseppe" uniqKey="Morgia G" first="Giuseppe" last="Morgia">Giuseppe Morgia</name><affiliation wicri:level="1"><nlm:aff id="af1-inj-19-4-272">Department of Urology, University of Catania, Catania,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Neurourology Journal</title><idno type="ISSN">2093-4777</idno><idno type="eISSN">2093-6931</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose:</title><p>To determine the relationship between the neurogenic bladder symptoms score (NBSS) and urodynamic examination in patients affected by multiple sclerosis (MS) and related lower urinary tract dysfunction (LUTD).</p></sec><sec><title>Methods:</title><p>We recruited 122 consecutive patients with MS in remission and LUTD from January 2011 to September 2013 who underwent their first urodynamic examination. Neurological impairment was assessed using the Expanded Disability Status Scale (EDSS) and bladder symptoms were studied with the NBSS.</p></sec><sec><title>Results:</title><p>Median NBSS was 20.0 (interquartile range, 12.75–31.0). Neurogenic detrusor overactivity (NDO) was discovered in 69 patients (56.6%). The concordance between patients with NDO and maximum detrusor pressure during involuntary detrusor contraction (PdetmaxIDC)≥20.0 cm H<sub>2</sub>O was 0.89 (κ-Cohen; P<0.05). Patients with EDSS scores of ≥4.5 had a greater NBSS (25.41 vs. 20.19, P<0.05), NBSS-incontinence (8.73 vs. 4.71, P<0.05), NBSS-consequence (4.51 vs. 3.13, P<0.05) and NBSS-quality of life (2.14 vs. 1.65, P<0.05). The NBSS was not associated with PdetmaxIDC≥20 cm H<sub>2</sub>O (P=0.77) but with maximum cystometric capacity<212 mL (odds ratio, 0.95; P<0.05).</p></sec><sec><title>Conclusions:</title><p>The NBSS cannot give adequate information the way urodynamic studies can, in patients with MS and LUTD.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gumus, H" uniqKey="Gumus H">H Gumus</name></author><author><name sortKey="Akpinar, Z" uniqKey="Akpinar Z">Z Akpinar</name></author><author><name sortKey="Yilmaz, H" uniqKey="Yilmaz H">H Yilmaz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lombardi, G" uniqKey="Lombardi G">G Lombardi</name></author><author><name sortKey="Celso, M" uniqKey="Celso M">M Celso</name></author><author><name sortKey="Bartelli, M" uniqKey="Bartelli M">M Bartelli</name></author><author><name sortKey="Cilotti, A" uniqKey="Cilotti A">A Cilotti</name></author><author><name 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Salonia</name></author><author><name sortKey="Traish, Am" uniqKey="Traish A">AM Traish</name></author><author><name sortKey="Van Lunsen, Rh" uniqKey="Van Lunsen R">RH van Lunsen</name></author><author><name sortKey="Vardi, Y" uniqKey="Vardi Y">Y Vardi</name></author><author><name sortKey="Kodiglu, A" uniqKey="Kodiglu A">A Kodiglu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Castel Lacanal, E" uniqKey="Castel Lacanal E">E Castel-Lacanal</name></author><author><name sortKey="Game, X" uniqKey="Game X">X Game</name></author><author><name sortKey="Clanet, M" uniqKey="Clanet M">M Clanet</name></author><author><name sortKey="Gasq, D" uniqKey="Gasq D">D Gasq</name></author><author><name sortKey="De Boissezon, X" uniqKey="De Boissezon X">X De Boissezon</name></author><author><name sortKey="Guillotreau, J" uniqKey="Guillotreau J">J Guillotreau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruffion, A" uniqKey="Ruffion A">A Ruffion</name></author><author><name sortKey="Castro Diaz, D" uniqKey="Castro Diaz D">D Castro-Diaz</name></author><author><name sortKey="Patel, H" uniqKey="Patel H">H Patel</name></author><author><name sortKey="Khalaf, K" uniqKey="Khalaf K">K Khalaf</name></author><author><name sortKey="Onyenwenyi, A" uniqKey="Onyenwenyi A">A Onyenwenyi</name></author><author><name sortKey="Globe, D" uniqKey="Globe D">D Globe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hristov, Kl" uniqKey="Hristov K">KL Hristov</name></author><author><name sortKey="Afeli, Sa" uniqKey="Afeli S">SA Afeli</name></author><author><name sortKey="Parajuli, Sp" uniqKey="Parajuli S">SP Parajuli</name></author><author><name sortKey="Cheng, Q" uniqKey="Cheng Q">Q Cheng</name></author><author><name sortKey="Rovner, Es" uniqKey="Rovner E">ES Rovner</name></author><author><name sortKey="Petkov, Gv" uniqKey="Petkov G">GV Petkov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feinstein, A" uniqKey="Feinstein A">A Feinstein</name></author><author><name sortKey="Feinstein, K" uniqKey="Feinstein K">K Feinstein</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Fragala, Eugenia" sort="Fragala, Eugenia" uniqKey="Fragala E" first="Eugenia" last="Fragalà">Eugenia Fragalà</name></noRegion><name sortKey="Castelli, Tommaso" sort="Castelli, Tommaso" uniqKey="Castelli T" first="Tommaso" last="Castelli">Tommaso Castelli</name><name sortKey="Cimino, Sebastiano" sort="Cimino, Sebastiano" uniqKey="Cimino S" first="Sebastiano" last="Cimino">Sebastiano Cimino</name><name sortKey="Di Rosa, Alessandro" sort="Di Rosa, Alessandro" uniqKey="Di Rosa A" first="Alessandro" last="Di Rosa">Alessandro Di Rosa</name><name sortKey="Favilla, Vincenzo" sort="Favilla, Vincenzo" uniqKey="Favilla V" first="Vincenzo" last="Favilla">Vincenzo Favilla</name><name sortKey="Giardina, Raimondo" sort="Giardina, Raimondo" uniqKey="Giardina R" first="Raimondo" last="Giardina">Raimondo Giardina</name><name sortKey="Morgia, Giuseppe" sort="Morgia, Giuseppe" uniqKey="Morgia G" first="Giuseppe" last="Morgia">Giuseppe Morgia</name><name sortKey="Patti, Francesco" sort="Patti, Francesco" uniqKey="Patti F" first="Francesco" last="Patti">Francesco Patti</name><name sortKey="Privitera, Salvatore" sort="Privitera, Salvatore" uniqKey="Privitera S" first="Salvatore" last="Privitera">Salvatore Privitera</name><name sortKey="Russo, Giorgio Ivan" sort="Russo, Giorgio Ivan" uniqKey="Russo G" first="Giorgio Ivan" last="Russo">Giorgio Ivan Russo</name></country><country name="Canada"><noRegion><name sortKey="Welk, Blayne" sort="Welk, Blayne" uniqKey="Welk B" first="Blayne" last="Welk">Blayne Welk</name></noRegion></country></tree></affiliations></record>Pour 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