Sex and Gender Influence Urinary Symptoms and Management in Multiple System Atrophy.

IF 2.5 4区医学 Q2 CLINICAL NEUROLOGY Journal of Movement Disorders Pub Date : 2023-05-01 DOI:10.14802/jmd.23016

Elke Schipani Bailey, Sara J Hooshmand, Negin Badihian, Paola Sandroni, Eduardo E Benarroch, James H Bower, Phillip A Low, Wolfgang Singer, Elizabeth A Coon

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引用次数: 1

Abstract

Objective: Multiple system atrophy (MSA) is characterized by urinary dysfunction, yet the influence of sex and gender on urinary symptoms and treatment is unclear. We sought to characterize sex and gender differences in the symptomatology, evaluation, and management of urinary dysfunction in patients with MSA.

Methods: Patients with MSA evaluated at our institution were reviewed and stratified by sex.

Results: While the prevalence of urinary symptoms was similar in male and female patients, incontinence was more common in females. Despite this, males and females underwent postvoid residual (PVR) measurement at similar rates. While catheterization rates were similar when PVR was measured, males were more than twice as likely to be catheterized than females in the absence of PVR measurement.

Conclusion: Urinary symptoms are common in MSA, but their presentation differs between males and females. The difference in catheterization rates may be driven by a gender disparity in referrals for PVR, which can guide treatment.

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性别和性别影响多系统萎缩的泌尿症状和治疗。

目的:多系统萎缩(MSA)以泌尿功能障碍为特征，但性别对泌尿症状及治疗的影响尚不清楚。我们试图在MSA患者的症状学、评估和尿功能障碍管理方面描述性别和性别差异。方法:对我院评估的MSA患者进行回顾性分析，并按性别进行分层。结果:男性和女性患者尿路症状的患病率相似，但女性患者尿失禁更为常见。尽管如此，男性和女性以相似的比率进行了虚空后残留(PVR)测量。虽然测量PVR时的导尿率相似，但在没有测量PVR时，男性的导尿率是女性的两倍多。结论:尿路症状在MSA中很常见，但其表现在男性和女性之间有所不同。导尿率的差异可能是由PVR转诊的性别差异引起的，这可以指导治疗。

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