[Bladder and rectum disturbances in multiple sclerosis].

Bladder and bowel dysfunction in multiple sclerosis. In a group of 88 unselected patients suffering from multiple sclerosis the incidence and type of neurogenic bladder and bowel dysfunctions, the reliability of subjective complaints and the relationship between these disorders and neurological signs were investigated. The bladder function was proved by a cystometry, in some cases also by an uroflowmetry. Cases with bladder neck obstructions caused by tumours were eliminated. The results demonstrate the incidence of 58% subjective bladder disorders. Urinary retention was found in 60%, pathological results in cystometry only in 46% in contrast to literature findings with a higher amount of pathological results in cystometry. It should be emphasized the dissociation between subjective complaints and proved bladder disorders in 25% of the patients. Bladder and bowel disorders appear more frequent if the neurological syndrome is characterized by perception disorders.