Correlation between disability status and quality of life in multiple sclerosis patients with urinary incontinence: A pilot study

Ersin A1, Tutuncu M2, Mutluay F3

Research Type

Clinical

Abstract Category

Quality of Life / Patient and Caregiver Experiences

Abstract 596
Open Discussion ePosters
Scientific Open Discussion Session 28
Friday 31st August 2018
13:15 - 13:20 (ePoster Station 11)
Exhibition Hall
Quality of Life (QoL) Multiple Sclerosis Incontinence
1. Istanbul Medipol University, Department of Physiotherapy & Rehabilitation, 2. Istanbul University, Cerrahpasa Medical Faculty, Department of Neurology, 3. Istanbul Medipol University, Department of Physiotherapy & Rehabilitation,
Presenter
A

Aybuke Ersin

Links

Abstract

Hypothesis / aims of study
Lower urinary tract dysfunction (LUTD) affects approximately 75% of people with multiple sclerosis (MS) (1). Urgency and urge incontinence are most frequently re¬ported (2). Although the impact of UI on QOL has been reported mostly in the general population, the effect in MS is likely similar (3). In this study, we aimed to investigate the relationship between disability status and quality of life in multiple sclerosis patients with urinary incontinence.
Study design, materials and methods
32 multiple sclerosis women who presented with urinary incontinence participated this study. 2 participants have stres incontinence, 18 participants have urge urinary incontinence, 8 participant have mixed urinary incontinence and 4 participants have insensible urinary incontinence. Quality of life was assessed by quality of life specific to urinary incontinence King’s Health Questionnaire (KHQ). Patients’ disability status scored with Expanded Disability Status Scale (EDSS). Normal distribution was assessed by Kolmogorov Smirnov test. Spearman’s rho non-parametric correlation coefficients between parameters were calculated. The statistical significance level was accepted as p≤0.05 and SPSS version 22.
Results
The age of participants ranged from 20 to 64 years (44,93±10,78  ). The years of MS disease year ranged from 1 to 26 years ( 11,09±6,90 ).  It was found statistically significant positive correlation between urinary incontinence related quality of life and disability status (r=0.392, p<0.05). It was not found correlation between urinary incontinence related quality of life and disease year and age (r=-0.274, p>0.05; r=-0.105, p>0.05).
Interpretation of results
As in the literature, 56% of our participants have urinary incontinence. Our results are presented in our hypothesis. Urinary incontinence related quality of life affects diasbility status but it is not affected by the disease year and patinet’s age.
Concluding message
The MS patients should be assed according to lower urinary tract symptoms (LUTS) right after the diagnosis; the strategies which manages the LUTS should be used right away. We continue our study by increasing the number of participants.
Figure 1
Figure 2
References
  1. McClurg, D., Ashe, R. G., & Lowe-Strong, A. S. (2008). Neuromuscular electrical stimulation and the treatment of lower urinary tract dysfunction in multiple sclerosis—a double blind, placebo controlled, randomised clinical trial. Neurourology and urodynamics, 27(3), 231-237.
  2. Massot, C., Khenioui, H., Agnani, O., Guyot, M. A., Hautecoeur, P., & Donze, C. (2016). Stress urinary incontinence in women with multiple sclerosis. International neurourology journal, 20(3), 224.
  3. Block, V., Rivera, M., Melnick, M., & Allen, D. D. (2015). Do Physical Therapy interventions affect urinary incontinence and quality of life in people with multiple sclerosis? An Evidence-based Review. International journal of MS care, 17(4), 172-180.
Disclosures
Funding None Clinical Trial Yes Public Registry No RCT No Subjects Human Ethics Committee Istanbul Medipol University Ethical Committee No:209 Helsinki Yes Informed Consent Yes
28/03/2024 04:25:26