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Keywords
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multiple system atrophy urinary retention clean, intermittent catheterization |
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Target Audience
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Urology, Urogynaecology and Female & Functional Urology |
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Aims and Objectives
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Multiple system atrophy (MSA) is a degenerative neurological disease. MSA comprises pelvic autonomic dysfunction (urinary retention with urge incontinence), systemic postural hypotension in some, and parkinsonian/ cerebellar motor disorder. Pelvic autonomic dysfunction appears as the sole, initial symptom in 18% of the patients. Such patients later develops motor disorder, therefore is referred to as ‘double-hit disease’. This reflects complex MSA pathology, including sacral spinal cord for pelvic autonomic dysfunction, and brain pathology for the motor disorder. Continuous care for the patients’ pelvic autonomic dysfunction is necessary, by assessing with urodynamics, sphincter EMG, and teaching clean, intermittent self-catheterization.
Learning Objectives - Able to know what is multiple system atrophy (MSA)
- Able to know what are the background pathology and key clinical issues in MSA
- Able to know how to manage MSA patients
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