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Bladder dysfunction in Parkinson’s disease 

Bladder dysfunction in Parkinson’s disease
Bladder dysfunction in Parkinson’s disease
Non-motor Symptoms of Parkinson's Disease (2 ed.)

Ryuji Sakakibara

and Clare Fowler


When reading the literature about bladder dysfunction in Parkinson’s disease (PD) one should bear in mind that the importance of a secure neurological diagnosis when considering urinary symptoms was only recognized within the last decade. The bladder symptoms of multiple system atrophy (MSA) may be similar to PD; urogenital symptoms can be one of the earliest manifestations of MSA and urinary incontinence may be pronounced even with mild disability. As almost 50% of patients with MSA parkinsonism are initially misdiagnosed as having PD, any such misclassified patients may have had a confounding effect on early studies. However, poor bladder control can be one of the most troublesome non-motor symptoms of PD. Research is urgently needed to improve understanding of why this occurs and to develop better management options, particularly for patients with advanced disease.

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