Pelvic autonomic dysfunction is common in patients with pure autonomic failure Article Swipe
Ekawat Vichayanrat
,
Claire Hentzen
,
S. Simeoni
,
Mahreen Pakzad
,
Valeria Iodice
,
Jalesh N. Panicker
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/ene.16486
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/ene.16486
Background and Purpose Pure autonomic failure (PAF) presents primarily as cardiovascular autonomic failure and may phenoconvert to other neurodegenerative disorders. However, the involvement of other autonomic functions has been poorly evaluated. This study aims to characterize genitourinary and bowel dysfunction and explore their relationship with cardiovascular autonomic dysfunction. Methods Pure autonomic failure patients underwent cardiovascular autonomic testing and an assessment of pelvic autonomic dysfunction using urinary, sexual symptoms questionnaires and a bladder diary. Demographic, clinical features and related medical comorbidities were assessed. Results Twenty‐five patients (10 males) with PAF were included (mean age 71 ± 8 years; disease duration 13 ± 8 years). 96% (24/25) reported lower urinary tract symptoms, of which overactive bladder symptoms were most commonly reported ( n = 23; 92%; median overactive subscore 8, interquartile range [IQR] 3–11), followed by voiding difficulties ( n = 19; 76%; median low stream subscore 2, IQR 1–3) using the Urinary Symptom Profile; however, only four (16%) required clean intermittent self‐catheterization. Sexual dysfunction was common ( n = 21; 84%) using the Arizona Sexual Experience Scale. Mild faecal incontinence and constipation were reported. 86% (19/22) had nocturnal polyuria (NP) and the median NP index was 47% (IQR 38%–51%; normal range <33%). 77% (10/13) had voiding dysfunction and 31% (4/13) had post‐void residual urine >100 mL. There were no significant correlations between the need for catheterization and the degree of NP with age, disease duration and cardiovascular autonomic parameters ( p > 0.05). Conclusions Nocturnal polyuria, genitourinary and bowel symptoms are commonly seen in PAF. The pathophysiology of NP in PAF is most likely multifactorial and may occur independent of cardiovascular autonomic failure.
Related Topics
Concepts
Medicine
Sexual dysfunction
Overactive bladder
Constipation
Erectile dysfunction
Interquartile range
Lower urinary tract symptoms
Nocturia
Internal medicine
Urinary urgency
Genitourinary system
Pure autonomic failure
Urinary system
Urology
Prostate
Blood pressure
Pathology
Orthostatic vital signs
Cancer
Alternative medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ene.16486
- OA Status
- gold
- Cited By
- 3
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402993679
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4402993679Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/ene.16486Digital Object Identifier
- Title
-
Pelvic autonomic dysfunction is common in patients with pure autonomic failureWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-09-30Full publication date if available
- Authors
-
Ekawat Vichayanrat, Claire Hentzen, S. Simeoni, Mahreen Pakzad, Valeria Iodice, Jalesh N. PanickerList of authors in order
- Landing page
-
https://doi.org/10.1111/ene.16486Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1111/ene.16486Direct OA link when available
- Concepts
-
Medicine, Sexual dysfunction, Overactive bladder, Constipation, Erectile dysfunction, Interquartile range, Lower urinary tract symptoms, Nocturia, Internal medicine, Urinary urgency, Genitourinary system, Pure autonomic failure, Urinary system, Urology, Prostate, Blood pressure, Pathology, Orthostatic vital signs, Cancer, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W205475240, https://openalex.org/W2009734665, https://openalex.org/W2617170837, https://openalex.org/W3046175925, https://openalex.org/W1526223986, https://openalex.org/W2888577768, https://openalex.org/W3035426254, https://openalex.org/W2117929265, https://openalex.org/W2106549223, https://openalex.org/W2137911291, https://openalex.org/W2164182651, https://openalex.org/W2117300470, https://openalex.org/W2033208945, https://openalex.org/W1967312126, https://openalex.org/W4247970394, https://openalex.org/W2484483641, https://openalex.org/W2068172379, https://openalex.org/W1989646093, https://openalex.org/W2081963448, https://openalex.org/W2036494706, https://openalex.org/W93759259, https://openalex.org/W3186233231, https://openalex.org/W1922320506, https://openalex.org/W2205835387, https://openalex.org/W1967107894, https://openalex.org/W2168946626, https://openalex.org/W1985245928, https://openalex.org/W2130591933, https://openalex.org/W2159917561, https://openalex.org/W1994659045, https://openalex.org/W2965637650, https://openalex.org/W2059135054, https://openalex.org/W4312117984, https://openalex.org/W2952933849, https://openalex.org/W2966838960, https://openalex.org/W1796049419, https://openalex.org/W2110403967, https://openalex.org/W2144233701, https://openalex.org/W1988025689, https://openalex.org/W2972177532, https://openalex.org/W2051893541, https://openalex.org/W2126825146, https://openalex.org/W2155965010, https://openalex.org/W4402993679, https://openalex.org/W4205112994 |
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