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Article
November 3, 1978

Bladder problems in MS call for diagnostic testing

JAMA. 1978;240(19):2035. doi:10.1001/jama.1978.03290190013003

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Abstract

Bladder problems affect 50% to 80% of persons with multiple sclerosis (MS), according to Jerry Blaivas, MD, assistant professor of urology at Tufts University School of Medicine, Boston.

However, although MS patients and other patients may have the same symptoms, the causes of their bladder problems may be quite different, Blaivas has found. One result of this is that of 60 MS patients with bladder problems investigated at the Tufts New England Medical Center Urodynamic Laboratory, of which Blaivas is director, 42 (70%) were found to be receiving inappropriate or ineffective treatment.

"This sad fact is the fault of neither the clinician nor the patient," Blaivas explained, "but reflects the physician's inability to detect the underlying abnormality without the use of more sophisticated techniques" than a history and physical examination. Utilization of the Urodynamic Laboratory's capacity for simultaneously performing and recording a complete battery of urinary function tests (voiding cystourethrography;

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