Movement Disorders (revue)

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Lower urinary tract symptoms and bladder control in advanced Parkinson's disease: Effects of deep brain stimulation in the subthalamic nucleus

Identifieur interne : 003C83 ( Main/Merge ); précédent : 003C82; suivant : 003C84

Lower urinary tract symptoms and bladder control in advanced Parkinson's disease: Effects of deep brain stimulation in the subthalamic nucleus

Auteurs : Kristian Winge [Danemark] ; Kurt Kr Yer Nielsen [Danemark] ; Hans Stimpel [Danemark] ; Annemette Lokkegaard [Danemark] ; Steen Rusborg Jensen [Danemark] ; Lene Werdelin [Danemark]

Source :

RBID : ISTEX:CBA9D31B2613E4E74E990BC181683F4681175DE9

English descriptors

Abstract

Deep brain stimulation in the subthalamic nucleus (STN) leads to significant improvement in motor function in patients with advanced Parkinson's disease (PD). In this prospective study including 16 patients with PD, we investigated (1) lower urinary tract symptoms (LUTS) by questionnaires International Prostate Symptom Score (IPSS, symptoms only) and Danish Prostate Symptom Score (DanPSS, symptoms and bother of symptoms) and (2) bladder control (assessed by urodynamics) before and after implantation of electrodes in the STN. PD symptoms (Unified Parkinson's Disease Rating Scale score) improved significantly (P < 0.0001), and symptoms of overactive bladder (IPSS) decreased along with the troublesome symptoms of overactive bladder (DanPSS; P < 0.01 for both). Urodynamic parameters before and after implantation of electrodes in the STN, evaluated with and without the stimulation on, did not change significantly. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.21253

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ISTEX:CBA9D31B2613E4E74E990BC181683F4681175DE9

Le document en format XML

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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Prospective Studies</term>
<term>Questionnaires</term>
<term>Severity of Illness Index</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Urinary Bladder Neck Obstruction (diagnosis)</term>
<term>Urinary Bladder Neck Obstruction (etiology)</term>
<term>Urinary Bladder Neck Obstruction (physiopathology)</term>
<term>Urinary Bladder, Overactive (diagnosis)</term>
<term>Urinary Bladder, Overactive (etiology)</term>
<term>Urinary Bladder, Overactive (physiopathology)</term>
<term>Urodynamics (physiology)</term>
<term>Urologic Diseases (diagnosis)</term>
<term>Urologic Diseases (etiology)</term>
<term>Urologic Diseases (physiopathology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Urinary Bladder Neck Obstruction</term>
<term>Urinary Bladder, Overactive</term>
<term>Urologic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Urinary Bladder Neck Obstruction</term>
<term>Urinary Bladder, Overactive</term>
<term>Urologic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Deep Brain Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Subthalamic Nucleus</term>
<term>Urodynamics</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Parkinson Disease</term>
<term>Urinary Bladder Neck Obstruction</term>
<term>Urinary Bladder, Overactive</term>
<term>Urologic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Questionnaires</term>
<term>Severity of Illness Index</term>
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<front>
<div type="abstract" xml:lang="en">Deep brain stimulation in the subthalamic nucleus (STN) leads to significant improvement in motor function in patients with advanced Parkinson's disease (PD). In this prospective study including 16 patients with PD, we investigated (1) lower urinary tract symptoms (LUTS) by questionnaires International Prostate Symptom Score (IPSS, symptoms only) and Danish Prostate Symptom Score (DanPSS, symptoms and bother of symptoms) and (2) bladder control (assessed by urodynamics) before and after implantation of electrodes in the STN. PD symptoms (Unified Parkinson's Disease Rating Scale score) improved significantly (P < 0.0001), and symptoms of overactive bladder (IPSS) decreased along with the troublesome symptoms of overactive bladder (DanPSS; P < 0.01 for both). Urodynamic parameters before and after implantation of electrodes in the STN, evaluated with and without the stimulation on, did not change significantly.</div>
</front>
</TEI>
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