Abstract
ObjectiveaaMultiple 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. MethodsaaPatients with MSA evaluated at our institution were reviewed and stratified by sex. ResultsaaWhile 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. ConclusionaaUrinary 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.
Original language | English (US) |
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Pages (from-to) | 196-201 |
Number of pages | 6 |
Journal | Journal of Movement Disorders |
Volume | 16 |
Issue number | 2 |
DOIs | |
State | Published - May 2023 |
Keywords
- Gender differences
- Multiple system atrophy
- Sex differences
- Urinary failure
ASJC Scopus subject areas
- Neurology
- Clinical Neurology