Lower urinary tract symptoms and bladder control in advanced Parkinson's disease: effects of deep brain stimulation in the subthalamic nucleus.
Identifieur interne : 001969 ( Ncbi/Checkpoint ); précédent : 001968; suivant : 001970Lower 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 ; Hans Stimpel ; Annemette Lokkegaard ; Steen Rusborg Jensen ; Lene WerdelinSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Adult, Aged, Deep Brain Stimulation (methods), Electrodes, Implanted, Female, Humans, Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Prospective Studies, Questionnaires, Severity of Illness Index, Subthalamic Nucleus (physiology), Urinary Bladder Neck Obstruction (diagnosis), Urinary Bladder Neck Obstruction (etiology), Urinary Bladder Neck Obstruction (physiopathology), Urinary Bladder, Overactive (diagnosis), Urinary Bladder, Overactive (etiology), Urinary Bladder, Overactive (physiopathology), Urodynamics (physiology), Urologic Diseases (diagnosis), Urologic Diseases (etiology), Urologic Diseases (physiopathology).
- MESH :
- complications : Parkinson Disease.
- diagnosis : Urinary Bladder Neck Obstruction, Urinary Bladder, Overactive, Urologic Diseases.
- etiology : Urinary Bladder Neck Obstruction, Urinary Bladder, Overactive, Urologic Diseases.
- methods : Deep Brain Stimulation.
- physiology : Subthalamic Nucleus, Urodynamics.
- physiopathology : Parkinson Disease, Urinary Bladder Neck Obstruction, Urinary Bladder, Overactive, Urologic Diseases.
- therapy : Parkinson Disease.
- Adult, Aged, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Prospective Studies, Questionnaires, Severity of Illness Index.
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.
DOI: 10.1002/mds.21253
PubMed: 17133504
Affiliations:
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pubmed:17133504Le document en format XML
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<country xml:lang="fr">Danemark</country>
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<author><name sortKey="Nielsen, Kurt Kr Yer" sort="Nielsen, Kurt Kr Yer" uniqKey="Nielsen K" first="Kurt Kr Yer" last="Nielsen">Kurt Kr Yer Nielsen</name>
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<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>
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<term>Urinary Bladder, Overactive</term>
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<term>Aged</term>
<term>Electrodes, Implanted</term>
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<term>Humans</term>
<term>Male</term>
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<term>Prospective Studies</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>
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<affiliations><list><country><li>Danemark</li>
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<tree><noCountry><name sortKey="Jensen, Steen Rusborg" sort="Jensen, Steen Rusborg" uniqKey="Jensen S" first="Steen Rusborg" last="Jensen">Steen Rusborg Jensen</name>
<name sortKey="Lokkegaard, Annemette" sort="Lokkegaard, Annemette" uniqKey="Lokkegaard A" first="Annemette" last="Lokkegaard">Annemette Lokkegaard</name>
<name sortKey="Nielsen, Kurt Kr Yer" sort="Nielsen, Kurt Kr Yer" uniqKey="Nielsen K" first="Kurt Kr Yer" last="Nielsen">Kurt Kr Yer Nielsen</name>
<name sortKey="Stimpel, Hans" sort="Stimpel, Hans" uniqKey="Stimpel H" first="Hans" last="Stimpel">Hans Stimpel</name>
<name sortKey="Werdelin, Lene" sort="Werdelin, Lene" uniqKey="Werdelin L" first="Lene" last="Werdelin">Lene Werdelin</name>
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<country name="Danemark"><noRegion><name sortKey="Winge, Kristian" sort="Winge, Kristian" uniqKey="Winge K" first="Kristian" last="Winge">Kristian Winge</name>
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