Urodynamics in patients with multiple sclerosis: A consensus statement from a urodynamic experts working group.

Details

Serval ID
serval:BIB_CAE907EE8A8C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Urodynamics in patients with multiple sclerosis: A consensus statement from a urodynamic experts working group.
Journal
Neurourology and urodynamics
Author(s)
Averbeck M.A., Iacovelli V., Panicker J., Schurch B., Finazzi Agrò E.
ISSN
1520-6777 (Electronic)
ISSN-L
0733-2467
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
39
Number
1
Pages
73-82
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Urodynamics (UDS) is often indicated for multiple sclerosis (MS) patients either at presentation to specialized medical centers or after failure of conservative management of lower urinary tract dysfunction (LUTD). However, the ideal moment and context to indicate this exam in this group of patients remain controversial. We aimed to establish a consensus panel to address the role of UDS in MS patients.
A panel representing urology, rehabilitation medicine, and neurology skilled in neuro-urology participated in a consensus-forming project using a Delphi method to reach consensus on the role of UDS in MS patients.
In total, five experts participated. All panelists participated in the four phases of the consensus process. Consensus was reached if ≥70% of the experts agreed on recommendations. To facilitate a common understanding among all experts, a face-to-face consensus meeting was held in Florence in September 2017 and then with a follow-up teleconference in March 2018. By the end of the Delphi process, formal consensus was achieved for 100% of the items and an algorithm was then developed in a face-to-face meeting in Philadelphia in August 2018. The final expert opinion recommendations were approved by the unanimous consensus of the panel.
UDS represents an important diagnostic tool for MS patients and is particularly useful to evaluate the pattern of LUT dysfunction in high-risk patients. There is a lack of high-evidence level studies to support an optimal urodynamic long-term follow-up protocol.
Keywords
Consensus, Delphi Technique, Humans, Lower Urinary Tract Symptoms/etiology, Lower Urinary Tract Symptoms/physiopathology, Multiple Sclerosis/physiopathology, Multiple Sclerosis/urine, Urodynamics, diagnosis, lower urinary tract symptoms, multiple sclerosis, risk factors, urodynamics
Pubmed
Web of science
Open Access
Yes
Create date
30/11/2019 13:48
Last modification date
10/02/2024 8:15
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