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Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects

Identifieur interne : 002E00 ( Main/Corpus ); précédent : 002D99; suivant : 002E01

Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects

Auteurs : Bonnet ; J. Pichon ; M. Vidailhet ; N. Gouider-Khouja ; G. Robain ; M. Perrigot ; Y. Agid

Source :

RBID : ISTEX:19C6B2A30FA5C58C1A7E3EF16124CC6E34BC7D9B

English descriptors

Abstract

Although urinary disturbances are more frequent in multiple system atrophy (MSA) than in Parkinson's disease (PD), the striatonigral degeneration (SND) type of MSA is difficult to distinguish from PD, especially when the latter is associated with orthostatic hypotension or urinary symptoms. The pattern of urinary symptoms and urodynamic dysfunction was analyzed in 15 SND and 35 PD patients with urinary complaints. In SND, dysuria with or without chronic retention, frequently associated with a hypoactive detrusor and low urethral pressure, permitted early and reliable diagnosis. In PD, urgency to void, with or without difficulty voiding, but without chronic retention, associated with detrusor hyperreflexia and normal urethral sphincter function, predominated. In clinical practice, the study of urinary symptoms and bladder function may help to distinguish SND from PD in patients with urinary disturbances.

Url:
DOI: 10.1002/mds.870120406

Links to Exploration step

ISTEX:19C6B2A30FA5C58C1A7E3EF16124CC6E34BC7D9B

Le document en format XML

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<title type="main" xml:lang="en">Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects</title>
<title type="short" xml:lang="en">URINARY DISTURBANCES IN STRMTONIGRAL DEGENERATION</title>
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<abstract lang="en">Although urinary disturbances are more frequent in multiple system atrophy (MSA) than in Parkinson's disease (PD), the striatonigral degeneration (SND) type of MSA is difficult to distinguish from PD, especially when the latter is associated with orthostatic hypotension or urinary symptoms. The pattern of urinary symptoms and urodynamic dysfunction was analyzed in 15 SND and 35 PD patients with urinary complaints. In SND, dysuria with or without chronic retention, frequently associated with a hypoactive detrusor and low urethral pressure, permitted early and reliable diagnosis. In PD, urgency to void, with or without difficulty voiding, but without chronic retention, associated with detrusor hyperreflexia and normal urethral sphincter function, predominated. In clinical practice, the study of urinary symptoms and bladder function may help to distinguish SND from PD in patients with urinary disturbances.</abstract>
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