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James H. Bower 1 Article
Sex and Gender Influence Urinary Symptoms and Management in Multiple System Atrophy
Elke Schipani Bailey, Sara J. Hooshmand, Negin Badihian, Paola Sandroni, Eduardo E. Benarroch, James H. Bower, Phillip A. Low, Wolfgang Singer, Elizabeth A. Coon
J Mov Disord. 2023;16(2):196-201.   Published online May 24, 2023
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AbstractAbstract PDF
Multiple 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.
Patients with MSA evaluated at our institution were reviewed and stratified by sex.
While 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.
Urinary 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.


Citations to this article as recorded by  
  • In vivo cerebral metabolic and dopaminergic characteristics in multiple system atrophy with orthostatic hypotension
    Chenxi Xue, Xiaofeng Dou, Congcong Yu, Yan Zhong, Jing Wang, Xiang Zhang, Le Xue, Daoyan Hu, Shuang Wu, Hong Zhang, Mei Tian
    European Journal of Nuclear Medicine and Molecular Imaging.2024; 51(2): 468.     CrossRef
  • Sex-related differences in the clinical presentation of multiple system atrophy
    Fabian Leys, Sabine Eschlböck, Nicole Campese, Philipp Mahlknecht, Marina Peball, Georg Goebel, Victoria Sidoroff, Florian Krismer, Roberta Granata, Stefan Kiechl, Werner Poewe, Klaus Seppi, Gregor K. Wenning, Alessandra Fanciulli
    Clinical Autonomic Research.2024; 34(2): 253.     CrossRef

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