Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service
Objectives: The overall aims of this study were to investigate the lower urinary tract symptoms (LUTS) associated with neurological conditions and their prevalence and impact on a clinical sample of outpatients of a neurorehabilitation service. Materials and methods: We reviewed the files of 132 pat...
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PAGEPress Publications
2015-07-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | http://www.pagepressjournals.org/index.php/aiua/article/view/5430 |
| _version_ | 1818235513925009408 |
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| author | Fabrizio Torelli Erica Terragni Salvatore Blanco Natale Di Bella Marco Grasso Donatella Bonaiuti |
| author_facet | Fabrizio Torelli Erica Terragni Salvatore Blanco Natale Di Bella Marco Grasso Donatella Bonaiuti |
| author_sort | Fabrizio Torelli |
| collection | DOAJ |
| description | Objectives: The overall aims of this study were to investigate the lower urinary tract symptoms (LUTS) associated with neurological conditions and their prevalence and impact on a clinical sample of outpatients of a neurorehabilitation service. Materials and methods: We reviewed the files of 132 patients treated in our neurorehabilitation service from December 2012 to December 2013. Patients were divided into several subgroups based on the neurological diagnosis: Multiple Sclerosis (MS), other demyelinating diseases, Peripheral Neuropathy, neurovascular disorders (ND), neoplastic disease, traumatic brain injury (TBI), Parkinson and Parkinsonism, spinal cord injuries (SCI). Urinary status was based on medical evaluations of history of LUTS, type, degree, onset and duration of symptoms. We tried to analyze prevalence, kind of disorder, timing of presentation (if before or after the neurological onset) and eventual persistence of urological disorders (in the main group and in all subgroups). Results: At the time of admission to our rehabilitation service, LUTS were observed in 14 out of 132 cases (11%). A high proportion of these outpatients (64.2%) presented bothersome urinary symptoms such as incontinence, frequency and urgency (storage LUTS). The most frequent symptom was urinary urge incontinence (42.8%). This symptom was found to be prevalent in the multiple sclerosis and neurovascular disorders. In 93% the urinary symptoms arose as a result of neurologic conditions and 78.5% did not present a complete recovery of urological symptoms in spite of improved selfreported functional activity limitations. None of these patients performed urological rehabilitation. Conclusions: Neurological disorders are a significant issue in rehabilitation services and it can lead to lower tract dysfunction, which causes LUTS. Storage symptoms are more common, especially urge incontinence. Current literature reports that a further optimization of the rehabilitation potential of neurologically ill patients is possible through an implementation of urological basic measures into the neurological treatment routine. |
| first_indexed | 2024-12-12T11:55:10Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-12T11:55:10Z |
| publishDate | 2015-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-16c96538499c4a8ca3b4531cb6673af02022-12-22T00:25:13ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972015-07-0187215415710.4081/aiua.2015.2.1544430Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation serviceFabrizio Torelli0Erica Terragni1Salvatore Blanco2Natale Di Bella3Marco Grasso4Donatella Bonaiuti5Division of Urology, San Gerardo Hospital, MonzaDivision of Neurorehabilitation, San Gerardo Hospital, MonzaDivision of Urology, San Gerardo Hospital, MonzaDivision of Neurorehabilitation, San Gerardo Hospital, MonzaDivision of Urology, San Gerardo Hospital, MonzaDivision of Neurorehabilitation, San Gerardo Hospital, MonzaObjectives: The overall aims of this study were to investigate the lower urinary tract symptoms (LUTS) associated with neurological conditions and their prevalence and impact on a clinical sample of outpatients of a neurorehabilitation service. Materials and methods: We reviewed the files of 132 patients treated in our neurorehabilitation service from December 2012 to December 2013. Patients were divided into several subgroups based on the neurological diagnosis: Multiple Sclerosis (MS), other demyelinating diseases, Peripheral Neuropathy, neurovascular disorders (ND), neoplastic disease, traumatic brain injury (TBI), Parkinson and Parkinsonism, spinal cord injuries (SCI). Urinary status was based on medical evaluations of history of LUTS, type, degree, onset and duration of symptoms. We tried to analyze prevalence, kind of disorder, timing of presentation (if before or after the neurological onset) and eventual persistence of urological disorders (in the main group and in all subgroups). Results: At the time of admission to our rehabilitation service, LUTS were observed in 14 out of 132 cases (11%). A high proportion of these outpatients (64.2%) presented bothersome urinary symptoms such as incontinence, frequency and urgency (storage LUTS). The most frequent symptom was urinary urge incontinence (42.8%). This symptom was found to be prevalent in the multiple sclerosis and neurovascular disorders. In 93% the urinary symptoms arose as a result of neurologic conditions and 78.5% did not present a complete recovery of urological symptoms in spite of improved selfreported functional activity limitations. None of these patients performed urological rehabilitation. Conclusions: Neurological disorders are a significant issue in rehabilitation services and it can lead to lower tract dysfunction, which causes LUTS. Storage symptoms are more common, especially urge incontinence. Current literature reports that a further optimization of the rehabilitation potential of neurologically ill patients is possible through an implementation of urological basic measures into the neurological treatment routine.http://www.pagepressjournals.org/index.php/aiua/article/view/5430Neurorehabilitation serviceOutpatientNeurovascular disorderLower urinary tract symptoms (LUTS)Lower urinary tract dysfunction (LUTD )Urge incontinence |
| spellingShingle | Fabrizio Torelli Erica Terragni Salvatore Blanco Natale Di Bella Marco Grasso Donatella Bonaiuti Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service Archivio Italiano di Urologia e Andrologia Neurorehabilitation service Outpatient Neurovascular disorder Lower urinary tract symptoms (LUTS) Lower urinary tract dysfunction (LUTD ) Urge incontinence |
| title | Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service |
| title_full | Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service |
| title_fullStr | Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service |
| title_full_unstemmed | Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service |
| title_short | Lower urinary tract symptoms associated with neurological conditions: Observations on a clinical sample of outpatients neurorehabilitation service |
| title_sort | lower urinary tract symptoms associated with neurological conditions observations on a clinical sample of outpatients neurorehabilitation service |
| topic | Neurorehabilitation service Outpatient Neurovascular disorder Lower urinary tract symptoms (LUTS) Lower urinary tract dysfunction (LUTD ) Urge incontinence |
| url | http://www.pagepressjournals.org/index.php/aiua/article/view/5430 |
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