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NEUROLOGY 2004;63:1716-1718
© 2004 American Academy of Neurology
Brief Communications

Relation between objective and subjective measures of bladder dysfunction in multiple sclerosis

J. Jolijn Kragt, MD, Erwin L.J. Hoogervorst, MD, PhD, Bernard M.J. Uitdehaag, MD, PhD and Chris H. Polman, MD, PhD

From the Departments of Neurology (Drs. Kragt, Hoogervorst, Uitdehaag, and Polman) and Clinical Epidemiology and Biostatistics (Dr. Uitdehaag), VU University Medical Center, Amsterdam, the Netherlands.

Address correspondence and reprint requests to Dr. J. Jolijn Kragt, Department of Neurology, VU University Medical Center, De Boelelaan 1117, PO Box 7057 1007 MB Amsterdam, the Netherlands; e-mail: JJ.Kragt{at}vumc.nl

The authors studied 297 patients with multiple sclerosis (MS), correlating urinary symptoms (bowel/bladder Functional System [FS] score of the Expanded Disability Status Scale [EDSS] and bladder dysfunction score of the Guy’s Neurological Disability Scale [GNDS[) vs objective measurement of bladder dysfunction (postmicturition residual volume). EDSS and GNDS were of no value for predicting the presence of a clinically relevant postvoiding volume. Therefore, the authors recommend ultrasound scanning of residual volume in every patient with MS, even in the absence of subjective urinary symptoms.

Received November 25, 2003. Accepted in final form June 25, 2004.




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