Importance of Urodynamic Dysfunctions as Risk Factors for Recurrent Urinary Tract Infections in Patients with Multiple Sclerosis

Objective: To analyze the role of urodynamic dysfunctions as risk factors for recurrent urinary tract infections (rUTIs) in patients with multiple sclerosis (MS). Material and methods: We conducted a prospective cohort study 170 MS who underwent due to lower symptoms. Patients were followed one year, 114 (84 women [74%] 30 men [26%]; mean age 49 years) completed study. Clinical variables findings (free uroflowmetry, cystometry, pressure-flow results) recorded. Results indicated rUTIs was present 37 (32%). Statistical analysis performed using Fisher’s exact test, chi-square Student’s t-test, multivariate regression analysis. Results: In univariate analysis, significant differences observed between without following clinical variables: symptom progression time, duration, Expanded Disability Status Scale score, type. Regarding findings, maximum flow rate (Qmax) (lower rUTIs), voided volume, bladder voiding efficiency, stress incontinence (SUI) (greater rUTI frequency affected patients), detrusor pressure at flow, contractility index score. Multivariate identified factors: low Qmax [Odds Ratio (OR) = 0.90 SUI (OR 2.95) independent predictors rUTs. Conclusions: Two SUI, are patients. These two might be associated Pelvic floor dysfunctions.