Impact of lower urinary tract symptoms in women with multiple sclerosis: an observational cross-sectional study

BackgroundLower urinary tract symptoms (LUTS) are common in women with multiple sclerosis.ObjectiveTo investigate the impact of LUTS on pelvic floor muscle contraction, sexual function, and quality of life in women with multiple sclerosis.MethodsThirty-nine women with relapsing-remitting multiple sc...

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Bibliographic Details
Published in:Physiotherapy theory and practice 2023-12, Vol.39 (12), p.2589-2595
Main Authors: Resstel, Ana Paula Ferreira, Christofoletti, Gustavo, Salgado, Pedro Rippel, Domingos, João Américo, Pegorare, Ana Beatriz
Format: Article
Language:English
Subjects:
Advanced stage
Contraction
Multiple sclerosis
Multiple symptoms
Muscle contraction
Pelvis
Quality of life
Regression analysis
Rehabilitation
Urinary tract
Urogenital system
Women
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Summary:BackgroundLower urinary tract symptoms (LUTS) are common in women with multiple sclerosis.ObjectiveTo investigate the impact of LUTS on pelvic floor muscle contraction, sexual function, and quality of life in women with multiple sclerosis.MethodsThirty-nine women with relapsing-remitting multiple sclerosis were enrolled in this study. Participants were divided into the presence or not of LUTS. Assessments involved the Expanded Disability Status Scale score, the NEW PERFECT scheme, the Female Sexual Function Index, and the Qualiveen Questionnaire. Statistical procedures involved Student t-tests, chi-squared, and regression analyses (R2).ResultsNineteen women (48.7%) presented LUTS. Women with LUTS were in a more advanced stage of multiple sclerosis (p = .029), presented weaker pelvic muscle contraction (p = .009), less sexual function satisfaction (p = .018), and more limitations in the quality of life (p = .001) than women without LUTS. Regression analyses pointed out that the quality of life and sexual function of women with multiple sclerosis are affected by intercourse pain (R2 = 12.9) and perineal contraction force (R2 = 19.2).ConclusionLUTS affects pelvic floor muscle contraction, sexual function, and quality of life in women with multiple sclerosis. A multi-professional rehabilitation team should assist women with multiple sclerosis, taking special care of LUTS.
ISSN:0959-3985
1532-5040
DOI:10.1080/09593985.2022.2095953