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Clinical assessment of pelvic floor dysfunction in multiple sclerosis: Urodynamic and neurological correlates
Author(s) -
De Ridder D.,
Vermeulen C.,
De Smet E.,
Van Poppel H.,
Ketelaer P.,
Baert L.
Publication year - 1998
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/(sici)1520-6777(1998)17:5<537::aid-nau10>3.0.co;2-c
Subject(s) - medicine , dyssynergia , pelvic floor , spasticity , pelvic floor dysfunction , multiple sclerosis , urodynamic testing , palpation , pelvic floor muscle , external anal sphincter , spinal cord , physical medicine and rehabilitation , urology , urinary incontinence , sphincter , surgery , rectum , anal canal , psychiatry
We present a study on the clinical assessment of pelvic floor dysfunction in 30 female patients with proven multiple sclerosis (MS). A scoring system for pelvic floor muscle testing by digital vaginal palpation is proposed. The concept of pelvic floor spasticity in MS is introduced. The relationship of our findings with the neurological findings and urodynamic data is presented. Pelvic floor spasticity correlates well with the presence of detrusor–external sphincter dyssynergia and with more severe spinal cord disease. Neurourol. Urodynam. 17:537–542, 1998. © 1998 Wiley‐Liss, Inc.