- •The effects of incontinence on disability are similar in MS patients of different genders.
- •The effects of incontinence on functionality are similar in MS patients of different genders.
- •The effects of incontinence on quality of life are similar in MS patients of different genders.
To determine the effects of incontinence on male and female patients with multiple sclerosis in terms of functionality, disability, and quality of life.
The study included 90 patients (45 male, 45 female) with multiple sclerosis (MS) with a median age of 37 years. After recording the sociodemographic characteristics, urinary incontinence was evaluated in terms of quality of life with the International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), overactive bladder symptoms with Overactive Bladder Questionnaire-V8 (OAB-V8), quality of life with Multiple Sclerosis Quality of Life Questionnaire-54 (MSQOL-54), and function was evaluated with the Lower Extremity Functional Scale (LEFS).
The demographic and clinical features, types of incontinence, total and sub-dimensions of ICIQ-SF, LEFS, OAB-V8, MSQOL-54 were determined to be similar in both males and females with MS (p>0.05). The education level of males was higher than that of females (p<0.05). A positive correlation was found between the mean LEFS score and MSQOL-total, MSQOL-PHC(physical health composite) and MSQOL-MHC(mental health composite) scores, and a negative correlation was found between the mean LEFS score and the ICIQ-SF and OAB-V8 scores (p<0.05).
Urinary incontinence, overactive bladder and lower extremity functionality may be similar in males and females with MS. It should not be ignored that lower extremity functionality may negatively affect incontinence symptoms.
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- Core muscle strength and endurance measures in ambulatory persons with multiple sclerosis–Validity and reliability.Int. J. Rehabil. Res. 2015; 38: 206-212
- Diagnosis of multiple sclerosis–Progress and challenges.Lancet N. Am. Ed. 2017; 389: 1336-1346
- Barriers experienced by patients with multiple sclerosis in seeking care for lower urinary tract symptoms.Neurourol. Urodyn. 2017; 36: 1208-1213
- Multiple sclerosis and the urologist.J. Urol. 1999; 161 (743-457)
- Treatment of progressive multiple sclerosis–What works, what does not, and what is needed.Lancet Neurol. 2015; 14: 194-207
- Do physical therapy interventions affect urinary incontinence and quality of life in people with multiple sclerosis? An evidence-based review.Int. J. MS Care. 2015; 17: 172-180
- Evaluation of lower urinary tract symptoms in multiple sclerosis patients–Review of the literature and current guidelines.Can. Urol. Assoc. J. 2017; 11: 61
- Pelvic floor dysfunction negatively impacts general functional performance in patients with multiple sclerosis.Neurourol. Urodyn. 2020; 39: 978-986
- Multipl sklerozda depresyon, fonksiyonel durum ve yaşam kalitesi ilişkisi–Bir rehabilitasyon merkezi deneyimi.J. Phys. Med. Rehabil. Sci. 2015; 18
Tekin G, et al. "Multipl Skleroz Tanılı ve Sağlıklı Kadınların Alt Üriner Sistem Semptomlarının Karşılaştırılması." Anatol. Clin. J. Med. Sci. 26.2: 143–154.
- [The validation study of ICIQ-SF Turkish version].Türk Ürol. Derg. 2004; 30: 332-338
- Rating neurological impairment in multiple sclerosis–An expanded disability status scale (EDSS).Neurology. 1983; 33: 1444-1452
- Cross-cultural adaptation and validation of multiple sclerosis quality of life questionnaire (MSQoL-54) in a Turkish multiple sclerosis sample.J. Neurol. Sci. 2006; 240: 77-80
- A health-related quality of life measure for multiple sclerosis.Qual. Life Res. 1995; 4: 187-206
- Alt Ekstremite Fonksiyonel Ölçeğinin Türkçe Geçerlilik Ve Güvenilirlik Çalışması.Muğla Sıtkı Koçman Üniversitesi, Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi. Muğla: Muğla Sıtkı Koçman Üniversitesi, 2016
- Translating overactive bladder questionnaires in 14 languages.Urology. 2006; 67: 536-540
Tarcan T, Mangır N, Özgür MÖ, Akbal C. OAB-V8 Aşırı aktif mesane sorgulama formu validasyon çalışması. Üroloji Bült. 2012;21(21):113–6.
- Breaking the silence–Women living with multiple sclerosis and urinary incontinence.Int. J. Nurs. Pract. 2001; 7: 16-23
- Electrical stimulation of sacral dermatomes in multiple sclerosis patients with neurogenic detrusor overactivity.Neurourol. Urodyn. 2007; 26: 525-530
- Clinical epidemiological insights into urinary incontinence.Int. Urogynecol. J. 2017; 28: 687-696
- Prevalence of stress urinary incontinence in women with multiple sclerosis.Int. Neurourol. J. 2012; 16: 86-90
- Medical and self-care practices reported by women with urinary incontinence.Am. J. Manag. Care. 2004; 10: 69-78
- Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis.Clinics (Sao Paulo). 2019; 74 (Mar 14PMID: 30892415; PMCID: PMC6399658): e713https://doi.org/10.6061/clinics/2019/e713
- Quality of life and seeking help in women with urinary incontinence: a population-based study.Acta Obstet. Gynecol. Scand. 2001; 80: 1051-1055
- An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction.Neurourol. Urodyn. 2010; 29: 4
- Pelvic floor muscle training in the treatment of lower urinary tract dysfunction in women with multiple sclerosis.Neurourol. Urodyn. 2010; 29: 1410-1413
- Under treatment of overactive bladder symptoms in patients with multiple sclerosis–An ancillary analysis of the NARCOMS Patient Registry.J. Urol. 2010; 183: 1432-1437
- Urinary incontinence in multiple sclerosis–Prevalence, severity and impact on patients‘ quality of life.Eur. J. Neurol. 2016; 23: 1228-1234
- The impact of disease characteristics on multiple sclerosis patients‘ quality of life.Epidemiol. Health. 2017; : 39
- Fatigue, sleep quality, and disability in relation to quality of life inmultiple sclerosis.Int. J. MS Care. 2015; 17: 268-274
- Multipl sklerozlu hastalarda uluslar arası prostat semptom skoru ve aşırı aktif mesane sorgulaması ile hastalıkla ilgili ölçütler ve yaşam kalitesi arasındaki ilişki.Turk Urol. Derg. 2007; 33: 218-222
- Urodynamic findings in primary progressive multiple sclerosis are associated with increased volumes of plaques and atrophy in the central nervous system.Acta Neurol. Scand. 2004; 109: 100-105
- Depression, fatigueand disability are independently associated withquality of life in patients with multiple Sclerosis:Results of a cross-sectional study.Mult. Scler. Relat. Disord. 2019; 35: 262-269
Published online: July 05, 2022
Accepted: July 1, 2022
Received in revised form: June 20, 2022
Received: June 3, 2022
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