Fate of the upper urinary tract in multiple sclerosis

Nabet G. Kasabian, Ira Krause, Wendy E. Brown, Zafar Khan, Harris M. Nagler

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Urologic problems arc a major source of morbidity for patients with multiple sclerosis (MS). Fifty‐four to 78% of patients experience bladder symptoms which are due to spinal lesions interrupting neural pathways that control micturition. MS patients could have upper or lower motor neuron lesion type bladders. Both obstructive and irritative symptoms may be present. Although lower urinary tract dysfunction has been well described in MS, few studies have investigated the fate of the upper urinary tract. Thirty‐two patients with MS were referred for urodynamic evaluation. Twenty‐six of the 32 patients had upper urinary tract studies performed. Only I of the 26 patients had evidence of upper urinary tract deterioration It is our impression that upper tract deterioration occurs infrequently in these patients. We discuss clinical clues that may predict deterioration. © 1995 Wiley‐Liss, Inc.

Original languageEnglish
Pages (from-to)81-85
Number of pages5
JournalNeurourology and Urodynamics
Issue number1
StatePublished - 1995
Externally publishedYes


  • multiple sclerosis
  • upper urinary tract
  • urodynamics


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