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Bladder dysfunction in Parkinson’s disease 

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

Ryuji Sakakibara

and Clare Fowler

DOI:
10.1093/med/9780199684243.003.0017

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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