Urodynamics assessment in patients with multiple sclerosis
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Authors
Walker, Nicholas Faure
Bacon, Alexandra
Teji, Manisha
Solomon, Eskinder
Sahai, Arun
Stephens, Ross
Okpii, Emmanuel
Dunford, Charlotte
Wood, Sarah
Speck, Emily
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Issue Date
2026
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Article
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Abstract
OBJECTIVES: The aim of this study is to review initial urodynamics (UDS) findings in patients with multiple sclerosis (MS) related lower urinary tract symptoms, establish where UDS happen in treatment pathways and to evaluate the benefit of video over standard UDS. PATIENTS AND METHODS: OnaBotulinumToxin A (BTX-A) na�ve, MS patients who had undergone UDS were identified from prospectively maintained databases from UK hospitals. RESULTS: One hundred fifty-seven patients were identified from seven UK departments. One (0.9%) female patient and 3 (6.7%) males had end fill pressures?>?40 cmH CONCLUSION: Many patients underwent UDS prior to conservative and medical management, which is earlier than most guidelines recommend, potentially delaying non-invasive treatment. This study supports the need for VUDS at initial assessment of men with MS. Standard UDS suffice in women with MS and pure OAB symptoms unresponsive to conservative measures and oral medication unless they have abnormal renal function, hydronephrosis or significant post void volumes.
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Journal
BJUI Compass
Volume
7
Issue
5