Knowledge of urologists and neurologists about the urogenital system involvement of multiple sclerosis?

Objectives: Multiple sclerosis (MS) is a demyelinizing disease of the central nervous system with different clinical signs and findings that progresses with episodes of exacerbation and remission. The urinary system is affected in more than 80% of MS patients, and shows a variety of signs and findings. Our study aims to evaluate all urological symptoms and findings, accompanied by urodynamic findings, in patients monitored due to MS. Design: Retrospective study Setting: Department of Urology, School of Medicine, Gazi University, Ankara, Turkey; Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey Subjects: A total of 73 patients, without differentiating the type of MS, who consulted our clinic between year 2003 and 2011. Intervention: The physical examination findings, demographic characteristics symptoms, and complications of the patients at the time of consultation were individually investigated. The results of any urodynamic investigations of monitored patients were evaluated. Finally, the treatments and results of all patients are discussed Main outcome measure: The clinical findings, laboratory findings, and complications and treatment results were assessed Results: The most frequent complaint was urge urinary incontinence. Additionally, in male patients 37.5% had erectile dysfunction and 12.5% had orgasmic complaints, while 12.2% of female patients described dyspareunia. Conclusion: While the urogenital complaints’ multiple sclerosis causes may negatively affect the quality of life of patients, the complications may cause threats to life at the same time. That is why, multiple sclerosis is a disease that should be known well not only by the neurology experts, but also the urology experts.