Association Between the Neurogenic Bladder Symptom Score and Urodynamic Examination in Multiple Sclerosis Patients With Lower Urinary Tract Dysfunction
Identifieur interne : 000066 ( Pmc/Curation ); précédent : 000065; suivant : 000067Association 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
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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 type="pmc">4703935</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703935</idno><idno type="RBID">PMC:4703935</idno><idno type="doi">10.5213/inj.2015.19.4.272</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000066</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000066</idno><idno type="wicri:Area/Pmc/Curation">000066</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000066</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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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int Neurourol J</journal-id><journal-id journal-id-type="iso-abbrev">Int Neurourol J</journal-id><journal-id journal-id-type="publisher-id">INJ</journal-id><journal-title-group><journal-title>International Neurourology Journal</journal-title></journal-title-group><issn pub-type="ppub">2093-4777</issn><issn pub-type="epub">2093-6931</issn><publisher><publisher-name>Korean Continence Society</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26739182</article-id><article-id pub-id-type="pmc">4703935</article-id><article-id pub-id-type="doi">10.5213/inj.2015.19.4.272</article-id><article-id pub-id-type="publisher-id">inj-19-4-272</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Association Between the Neurogenic Bladder Symptom Score and Urodynamic Examination in Multiple Sclerosis Patients With Lower Urinary Tract Dysfunction</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-4779-2012</contrib-id><name><surname>Fragalà</surname><given-names>Eugenia</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-4687-7353</contrib-id><name><surname>Russo</surname><given-names>Giorgio Ivan</given-names></name><xref ref-type="corresp" rid="c1-inj-19-4-272"></xref><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Di Rosa</surname><given-names>Alessandro</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Giardina</surname><given-names>Raimondo</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Privitera</surname><given-names>Salvatore</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Favilla</surname><given-names>Vincenzo</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Patti</surname><given-names>Francesco</given-names></name><xref ref-type="aff" rid="af2-inj-19-4-272"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Welk</surname><given-names>Blayne</given-names></name><xref ref-type="aff" rid="af3-inj-19-4-272"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cimino</surname><given-names>Sebastiano</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Castelli</surname><given-names>Tommaso</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Morgia</surname><given-names>Giuseppe</given-names></name><xref ref-type="aff" rid="af1-inj-19-4-272"><sup>1</sup></xref></contrib><aff id="af1-inj-19-4-272"><label>1</label>Department of Urology, University of Catania, Catania,<country>Italy</country></aff><aff id="af2-inj-19-4-272"><label>2</label>Department G.F. Ingrassia, Section of Neurosciences, University of Catania, Catania,<country>Italy</country></aff><aff id="af3-inj-19-4-272"><label>3</label>Division of Urology, Department of Surgery, Western University, London, ON,<country>Canada</country></aff></contrib-group><author-notes><corresp id="c1-inj-19-4-272">Corresponding author: Giorgio Ivan Russo <uri content-type="orcid" xlink:href="http://orcid.org/0000-0003-4687-7353">http://orcid.org/0000-0003-4687-7353</uri> Department of Urology, University of Catania, Via Santa Sofia 78, Catania, Italy E-mail: <email>giorgioivan@virgilio.it</email> / Tel: +39-95-3782712 / Fax: +39-95-3782373</corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2015</year></pub-date><volume>19</volume><issue>4</issue><fpage>272</fpage><lpage>277</lpage><history><date date-type="received"><day>7</day><month>9</month><year>2015</year></date><date date-type="accepted"><day>13</day><month>10</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Korean Continence Society</copyright-statement><copyright-year>2015</copyright-year><license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><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></abstract><kwd-group><kwd>Multiple Sclerosis</kwd><kwd>Lower Urinary Tract Dysfunction</kwd><kwd>Urodynamics</kwd><kwd>Urinary Bladder, Overactive</kwd><kwd>Neurogenic Bladder Symptom Score</kwd></kwd-group></article-meta></front><floats-group><table-wrap id="t1-inj-19-4-272" orientation="portrait" position="float"><label>Table 1.</label><caption><p>Demographics, neurological, sexual, and urodynamic characteristics of patients included in the study</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="middle" rowspan="1" colspan="1">Characteristic</th><th align="center" valign="middle" rowspan="1" colspan="1">Value</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Sex</td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> Male</td><td align="center" valign="top" rowspan="1" colspan="1">50 (41.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> Female</td><td align="center" valign="top" rowspan="1" colspan="1">72 (59.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Multiple sclerosis variants</td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> Relapsing remittent</td><td align="center" valign="top" rowspan="1" colspan="1">85 (69.7)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> Primary progressive</td><td align="center" valign="top" rowspan="1" colspan="1">15 (12.3)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> Secondary progressive</td><td align="center" valign="top" rowspan="1" colspan="1">22 (18.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Age (yr)</td><td align="center" valign="top" rowspan="1" colspan="1">46.0 (41.5–53.5)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">EDSS</td><td align="center" valign="top" rowspan="1" colspan="1">4.5 (2.9–6.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Duration of disease (mo)</td><td align="center" valign="top" rowspan="1" colspan="1">156.0 (60.0–231.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">HAM-A</td><td align="center" valign="top" rowspan="1" colspan="1">12.0 (8.0–16.2)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">HAM-D</td><td align="center" valign="top" rowspan="1" colspan="1">13.0 (9.0–19.5)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">NBSS total score</td><td align="center" valign="top" rowspan="1" colspan="1">20.0 (12.75–31.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Incontinence subscale</td><td align="center" valign="top" rowspan="1" colspan="1">0 (0.0–11.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Storage + voiding subscale</td><td align="center" valign="top" rowspan="1" colspan="1">10.0 (7.75–13.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Consequences subscale</td><td align="center" valign="top" rowspan="1" colspan="1">4.0 (1.0–6.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">QoL item</td><td align="center" valign="top" rowspan="1" colspan="1">2.0 (1.0–3.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">NBSS ≥20</td><td align="center" valign="top" rowspan="1" colspan="1">63 (51.6)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">IIEF-15</td><td align="center" valign="top" rowspan="1" colspan="1">41.5 (22.0–57.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> IIEF-EF</td><td align="center" valign="top" rowspan="1" colspan="1">16.0 (7.7–24.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> IIEF-IS</td><td align="center" valign="top" rowspan="1" colspan="1">7.0 (4.0–10.2)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> IIEF-OF</td><td align="center" valign="top" rowspan="1" colspan="1">7.0 (2.0–10.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> IIEF-SD</td><td align="center" valign="top" rowspan="1" colspan="1">7.0 (4.0–8.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> IIEF-OS</td><td align="center" valign="top" rowspan="1" colspan="1">4.0 (2.0–8.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Male sexual dysfunction (IIEF-15<60)</td><td align="center" valign="top" rowspan="1" colspan="1">40 (80.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI</td><td align="center" valign="top" rowspan="1" colspan="1">16.0 (2.0–25.5)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> FSFI-Desire</td><td align="center" valign="top" rowspan="1" colspan="1">3.0 (1.2–4.8)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> FSFI-Arousal</td><td align="center" valign="top" rowspan="1" colspan="1">2.1 (0.0–4.1)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> FSFI-Lubrication</td><td align="center" valign="top" rowspan="1" colspan="1">2.1 (0.0–4.5)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> FSFI-Orgasm</td><td align="center" valign="top" rowspan="1" colspan="1">1.2 (0.0–2.4)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> FSFI-Satisfaction</td><td align="center" valign="top" rowspan="1" colspan="1">1.6 (0.0–4.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> FSFI-Pain</td><td align="center" valign="top" rowspan="1" colspan="1">1.4 (0.0–6.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Female sexual dysfunction (FSFI<26.55)</td><td align="center" valign="top" rowspan="1" colspan="1">48 (66.6)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Neurogenic detrusor overactivity</td><td align="center" valign="top" rowspan="1" colspan="1">69 (56.6)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Detrusor underactivity</td><td align="center" valign="top" rowspan="1" colspan="1">24 (17.8)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Detrusor sphincter dyssynergia</td><td align="center" valign="top" rowspan="1" colspan="1">70 (51.9)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">AOFC (cm H<sub>2</sub>O)</td><td align="center" valign="top" rowspan="1" colspan="1">28.5 (21.4–44.5)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">MCC (mL)</td><td align="center" valign="top" rowspan="1" colspan="1">153.5 (125.0–220.3)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">PdetmaxIDC (cm H<sub>2</sub>O)</td><td align="center" valign="top" rowspan="1" colspan="1">34.7 (6.8–55.2)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">VpmaxIDC (mL)</td><td align="center" valign="top" rowspan="1" colspan="1">136.0 (99.0–170.0)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Compliance (mL/cm H<sub>2</sub>O)</td><td align="center" valign="top" rowspan="1" colspan="1">10.2 (4.0–37.7)</td></tr></tbody></table><table-wrap-foot><fn><p>Values are presented as number (%) or median (interquartile range).</p><p>EDSS, Expanded Disability Status Scale; HAM-A, Hamilton Anxiety Scale; HAM-D, Hamilton Depression Scale; NBSS, neurogenic bladder symptoms score; IIEF-15, International Index of Erectile Function; IIEF-EF, IIEF-erectile function; IIEF-IS, IIEF-intercourse satisfaction; IIEF-OF, IIEF-orgasmic function; IIEF-SD, IIEF-sexual desire; IIEF-OS, IIEF-overall satisfaction; FSFI, Female Sexual Function Index; AOFC, amplitude of the first overactive contraction; MCC, maximum cystometric capacity; PdetmaxIDC, maximum detrusor pressure during involuntary detrusor contraction (IDC); VpmaxIDC, volume at first IDC.</p></fn></table-wrap-foot></table-wrap><table-wrap id="t2-inj-19-4-272" orientation="portrait" position="float"><label>Table 2.</label><caption><p>Clinical and urodyamics findings according to NBSS cutoff</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="middle" rowspan="1" colspan="1">Variable</th><th align="center" valign="middle" rowspan="1" colspan="1">NBSS < 20 (n = 59)</th><th align="center" valign="middle" rowspan="1" colspan="1">NBSS ≥ 20 (n = 63)</th><th align="center" valign="middle" rowspan="1" colspan="1">P-value</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Age (yr)</td><td align="center" valign="top" rowspan="1" colspan="1">47.5 (42.0–56.50)</td><td align="center" valign="top" rowspan="1" colspan="1">46.0 (37.0–55.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.578</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Duration of disease (mo)</td><td align="center" valign="top" rowspan="1" colspan="1">90.0 (60.0–165.0)</td><td align="center" valign="top" rowspan="1" colspan="1">168.0 (36.0–216.0)</td><td align="center" valign="top" rowspan="1" colspan="1"><0.01</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">EDSS</td><td align="center" valign="top" rowspan="1" colspan="1">4.0 (2.0–5.0)</td><td align="center" valign="top" rowspan="1" colspan="1">4.0 (3.5–7.5)</td><td align="center" valign="top" rowspan="1" colspan="1">0.430</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">HAM-A</td><td align="center" valign="top" rowspan="1" colspan="1">12.0 (8.25–23.0)</td><td align="center" valign="top" rowspan="1" colspan="1">11.0 (8.0–23.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.320</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">HAM-D</td><td align="center" valign="top" rowspan="1" colspan="1">10.0 (8.50–19.0)</td><td align="center" valign="top" rowspan="1" colspan="1">16.0 (9.0–22.0)</td><td align="center" valign="top" rowspan="1" colspan="1"><0.01</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">IIEF-EF</td><td align="center" valign="top" rowspan="1" colspan="1">18.0 (8.5–24.7)</td><td align="center" valign="top" rowspan="1" colspan="1">11.0 (5.0–17.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.372</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">IIEF-IS</td><td align="center" valign="top" rowspan="1" colspan="1">9.0 (4.5–11.7)</td><td align="center" valign="top" rowspan="1" colspan="1">7.0 (3.0–9.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.350</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">IIEF-OF</td><td align="center" valign="top" rowspan="1" colspan="1">8.0 (2.0–10.0)</td><td align="center" valign="top" rowspan="1" colspan="1">6.0 (2.0–9.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.592</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">IIEF-SD</td><td align="center" valign="top" rowspan="1" colspan="1">6.5 (4.5–8.0)</td><td align="center" valign="top" rowspan="1" colspan="1">7.0 (6.0–8.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.092</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">IIEF-OS</td><td align="center" valign="top" rowspan="1" colspan="1">5.0 (2.0–8.0)</td><td align="center" valign="top" rowspan="1" colspan="1">4.0 (2.0–4.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.479</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">MCC (mL)</td><td align="center" valign="top" rowspan="1" colspan="1">212.0 (130.0–357.0)</td><td align="center" valign="top" rowspan="1" colspan="1">131.0 (117.0–225.0)</td><td align="center" valign="top" rowspan="1" colspan="1"><0.01</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">NDO, n (%)</td><td align="center" valign="top" rowspan="1" colspan="1">26 (44.1)</td><td align="center" valign="top" rowspan="1" colspan="1">37 (58.7)</td><td align="center" valign="top" rowspan="1" colspan="1">0.620</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">PdetmaxIDC (cm H<sub>2</sub>O)</td><td align="center" valign="top" rowspan="1" colspan="1">39.9 (6.2–76.2)</td><td align="center" valign="top" rowspan="1" colspan="1">85.9 (63.6–104.0)</td><td align="center" valign="top" rowspan="1" colspan="1">0.121</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Compliance</td><td align="center" valign="top" rowspan="1" colspan="1">10.8 (2.4–41.8)</td><td align="center" valign="top" rowspan="1" colspan="1">3.3 (1.2–6.2)</td><td align="center" valign="top" rowspan="1" colspan="1">0.357</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI</td><td align="center" valign="top" rowspan="1" colspan="1">14.6 (1.5–27.3)</td><td align="center" valign="top" rowspan="1" colspan="1">16.0 (2.0–25.7)</td><td align="center" valign="top" rowspan="1" colspan="1">0.829</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI-Desire</td><td align="center" valign="top" rowspan="1" colspan="1">3.3 (1.2–5.7)</td><td align="center" valign="top" rowspan="1" colspan="1">3.0 (1.2–4.6)</td><td align="center" valign="top" rowspan="1" colspan="1">0.167</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI-Arousal</td><td align="center" valign="top" rowspan="1" colspan="1">2.1 (0.3–4.8)</td><td align="center" valign="top" rowspan="1" colspan="1">3.0 (0–4.1)</td><td align="center" valign="top" rowspan="1" colspan="1">0.328</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI-Lubrication,</td><td align="center" valign="top" rowspan="1" colspan="1">2.4 (0–4.8)</td><td align="center" valign="top" rowspan="1" colspan="1">3.4 (0–4.5)</td><td align="center" valign="top" rowspan="1" colspan="1">0.021</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI-Orgasm</td><td align="center" valign="top" rowspan="1" colspan="1">1.2 (0–2.3)</td><td align="center" valign="top" rowspan="1" colspan="1">2.2 (0–3.5)</td><td align="center" valign="top" rowspan="1" colspan="1"><0.01</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI-Satisfaction</td><td align="center" valign="top" rowspan="1" colspan="1">2.4 (0–4.6)</td><td align="center" valign="top" rowspan="1" colspan="1">2.0 (0.2–3.9)</td><td align="center" valign="top" rowspan="1" colspan="1">0.680</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">FSFI-Pain</td><td align="center" valign="top" rowspan="1" colspan="1">1.4 (0–6.0)</td><td align="center" valign="top" rowspan="1" colspan="1">1.6 (0–5.9)</td><td align="center" valign="top" rowspan="1" colspan="1">0.467</td></tr></tbody></table><table-wrap-foot><fn><p>Values are presented as median (interquartile range) unless otherwise indicated.</p><p>NBSS, neurogenic bladder symptoms score; EDSS, Expanded Disability Status Scale; HAM-A, Hamilton Anxiety Scale; HAM-D, Hamilton Depression Scale; IIEF, International Index of Erectile Function; IIEF-EF, IIEF-erectile function; IIEF-IS, IIEF-intercourse satisfaction; IIEF-OF, IIEF-orgasmic function; IIEF-SD, IIEF-sexual desire; IIEF-OS, IIEF-overall satisfaction; MCC, maximum cystometric capacity; NDO, neurogenic detrusor overactivity; PdetmaxIDC, maximum detrusor pressure during involuntary detrusor contraction; FSFI, Female Sexual Function Index.</p></fn></table-wrap-foot></table-wrap><table-wrap id="t3-inj-19-4-272" orientation="portrait" position="float"><label>Table 3.</label><caption><p>Spearman correlation between variables</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="middle" rowspan="2" colspan="1">NBSS</th><th align="center" valign="middle" colspan="9" rowspan="1">Spearman rho<hr></hr></th></tr><tr><th align="center" valign="middle" rowspan="1" colspan="1">MCC</th><th align="center" valign="middle" rowspan="1" colspan="1">Pdetmax</th><th align="center" valign="middle" rowspan="1" colspan="1">PdetmaxIDC</th><th align="center" valign="middle" rowspan="1" colspan="1">Compliance</th><th align="center" valign="middle" rowspan="1" colspan="1">HAM-A</th><th align="center" valign="middle" rowspan="1" colspan="1">HAM-D</th><th align="center" valign="middle" rowspan="1" colspan="1">EDSS</th><th align="center" valign="middle" rowspan="1" colspan="1">FSFI</th><th align="center" valign="middle" rowspan="1" colspan="1">IIEF-15</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Total score</td><td align="center" valign="top" rowspan="1" colspan="1">–0.213<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.401<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.005</td><td align="center" valign="top" rowspan="1" colspan="1">–0.086</td><td align="center" valign="top" rowspan="1" colspan="1">0.447<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.389<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.278<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.228<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.194<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Incontinence</td><td align="center" valign="top" rowspan="1" colspan="1">–0.154</td><td align="center" valign="top" rowspan="1" colspan="1">–0.472<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.050</td><td align="center" valign="top" rowspan="1" colspan="1">0.009</td><td align="center" valign="top" rowspan="1" colspan="1">0.326<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.302<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.332<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.149</td><td align="center" valign="top" rowspan="1" colspan="1">–0.219</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Storage + voiding</td><td align="center" valign="top" rowspan="1" colspan="1">–0.097</td><td align="center" valign="top" rowspan="1" colspan="1">–0.200<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.033</td><td align="center" valign="top" rowspan="1" colspan="1">–0.127</td><td align="center" valign="top" rowspan="1" colspan="1">0.369<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.312<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.121</td><td align="center" valign="top" rowspan="1" colspan="1">–0.206</td><td align="center" valign="top" rowspan="1" colspan="1">–0.186</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Consequence</td><td align="center" valign="top" rowspan="1" colspan="1">–0.197<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.197<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.028</td><td align="center" valign="top" rowspan="1" colspan="1">–0.060</td><td align="center" valign="top" rowspan="1" colspan="1">0.379<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.384<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.254<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.446<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.102</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">QoL</td><td align="center" valign="top" rowspan="1" colspan="1">–0.291<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.229<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.076</td><td align="center" valign="top" rowspan="1" colspan="1">–0.229<sup><xref rid="tfn1-inj-19-4-272" ref-type="table-fn">*</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.474<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.408<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">0.398<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.329<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td><td align="center" valign="top" rowspan="1" colspan="1">–0.457<sup><xref rid="tfn2-inj-19-4-272" ref-type="table-fn">**</xref></sup></td></tr></tbody></table><table-wrap-foot><fn><p>NBSS, neurogenic bladder symptoms score; MCC, maximum cystometric capacity; Pdetmax, maximum detrusor pressure; PdetmaxIDC, Pdetmax during involuntary detrusor contraction; HAM-A, Hamilton Anxiety Scale; HAM-D, Hamilton Depression Scale; EDSS, Expanded Disability Status Scale; FSFI, Female Sexual Function Index; IIEF, International Index of Erectile Function; QoL, quality of life.</p></fn><fn id="tfn1-inj-19-4-272"><label>*</label><p>P<0.05.</p></fn><fn id="tfn2-inj-19-4-272"><label>**</label><p>P<0.01.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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