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The neurogenic bladder in multiple sclerosis: review of the literature and proposal of management guidelines

de Sèze, Marianne, Ruffion, Alain, Denys, Pierre, Joseph, Pierre-Alain, Perrouin-Verbe, Brigitte, International Francophone Neuro-Urological expert study group (GENULF)·2007·Multiple Sclerosis Journal

Abstract

Vesicourethral dysfunction is very frequent in multiple sclerosis (MS) and has functional consequences for patients' quality of life and also an organic impact following complications of the neurogenic bladder on the upper urinary tract. While the functional impact and its management are well documented in the literature, the organic impact remains underestimated and there are no consensual practical guidelines for the screening and prevention of MS neurogenic bladder complications. The aim of this review of the literature, focused on identifying the risk factors of urinary tract complications in MS, is to put forward well informed considerations to help in the definition of practical guidelines for the follow-up of the neurogenic bladder in MS in order to improve its prevention and patient management. Four main risk factors have been identified for upper urinary tract damage: the duration of MS, the presence of an indwelling catheter, high-amplitude neurogenic detrusor contractions and permanent high detrusor pressure. Detrusor-sphincter dyssynergia, age over 50 and male sex may form three additional risk factors. Recommendations for long-term urological follow-up, taking into account these specific risks are constructed according to the procedures recommended by the French Health Authorities. Multiple Sclerosis 2007; 13: 915-928. http://msj.sagepub.com

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Metadata

Authors
de Sèze, M., Ruffion, A., Denys, P., Joseph, P.-A., Perrouin-Verbe, B., & International Francophone Neuro-Urological expert study group (GENULF)
Venue
Multiple Sclerosis Journal
Published
2007-08
Volume
13
Issue
7
Pages
915-928
ISSN
  • 1352-4585 (ISSN-L)
  • 1477-0970
OpenAlex
W2136577563
Cited by
459
References
1
FWCI
17.48
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The neurogenic bladder in multiple sclerosis: review of the literature and proposal of management guidelines. https://app.cochat.ai/papers/10.1177/1352458506075651
The paper
de Sèze, M., Ruffion, A., Denys, P., Joseph, P.-A., Perrouin-Verbe, B., & International Francophone Neuro-Urological expert study group (GENULF). (2007). The neurogenic bladder in multiple sclerosis: review of the literature and proposal of management guidelines. Multiple Sclerosis Journal. https://doi.org/10.1177/1352458506075651

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.