Abstract:
Lower urinary tract symptoms (LUTS) are highly prevalent in individuals with multiple sclerosis (MS). However, assessment of these symptoms is often hindered by vague definitions or absence of screening in asymptomatic patients. It is crucial to exercise caution when applying the non-neurogenic definition of urinary retention in this population. For men with MS experiencing persistent and treatment-resistant LUTS, urodynamic studies should be used to identify the underlying causes of symptoms. Although numerous therapies are presently accessible for managing LUTS in MS, there is a need for further investigation into emerging treatments such as percutaneous tibial nerve, and noninvasive brain stimulation.
摘要:
下尿路症状(LUTS)在多发性硬化症(MS)患者中非常普遍。然而,对这些症状的评估通常因定义模糊或无症状患者缺乏筛查而受阻.在该人群中应用非神经源性尿潴留定义时,谨慎行事至关重要。对于患有MS的男性,患有持续性和抗治疗的LUTS,应使用尿动力学研究来确定症状的根本原因。尽管目前有许多疗法可用于管理MS中的LUTS,有必要进一步研究新兴的治疗方法,如经皮胫神经,和非侵入性脑刺激。