Bladder dysfunction as the initial presentation of multiple system atrophy: a prospective cohort study.
Ryuji SakakibaraJalesh PanickerSara SimeoniTomoyuki UchiyamaTatsuya YamamotoFuyuki TatenoMasahiko KishiYosuke AibaPublished in: Clinical autonomic research : official journal of the Clinical Autonomic Research Society (2018)
In MSA patients, 18.2% presented with bladder dysfunction as the sole initial manifestation, and the mean interval from the onset of urinary to the onset of motor symptoms was 2.8 years. It is clinically important to avoid unnecessary prostatic surgery when MSA patients see urologists before neurologists.