Urinary Dysfunction in Idiopathic Parkinson's Disease

J Korean Neurol Assoc > Volume 8(2); 1990 > Article

Journal of the Korean Neurological Association 1990;8(2): 307-311.

특발성 파킨슨병에서 나타나는 배뇨기능 장애

이계훈, 신동진, 김주한, 정경천, 김명호

한양대학교 신경과.

Urinary Dysfunction in Idiopathic Parkinson's Disease

Kye Hoon Lee, M.D., Dong Jin Shin, M.D., Ju Han Kim, M.D., Kyung Cheon Chung, M.D., Myung Ho Kim, M.D.

Dep. Of Neurology, College of Medicine, Hanyang University

Abstract

The clinical and urodynarnic studies for urinary dysfunction were performed in 35 patients with idiopathic parkinson's disease who admitted at Hanyang University Hospital from January, 1988 to June, 1990. The results are as follows; 1. Urinary dysfunction was noted in 9 patients (25.7%) with idiopathic parkinson's disease Their cysto / uroflowmetry showed detrusor hyperreflexia in 6 patients, and detrusor hyporeflexia in 3 patients. The common urinary symptoms were frequency, incontinence, hesitency, decreased urinary force, and retention in that order. 2. The mean time-interval from the onset of initial parkinsonian symptoms to the development of urinary symptoms was 22.6 months (ranged from 3 to 48 months). Urinary dysfuncion showed no correlation with clinical severity of parkinson's disease. 3. The frequency of urinary dysfunction was greater in rigidity-predominant parkinsonian group than patients with tremor. Cysto / uroflowmetry in the former showed detrusor hyperreflexia more frequently than detrusor hyporeflexia. 4. It was suggested that urinary dysfunction in idiopathic parkinson's disease probably result from multifactorial causes such as the change of neuronal effect, dysautonomia, and skeletal rigidity.