Multiple system atrophy (MSA) is similar to Parkinson’s di-sease but it is more severe, early onset neurodegenerative disease and has a higher morbidity and mortality. The symptoms of the di-sease for lower urinary system may be seen before symptoms of other systems develope. Because the disease causes a lot of comp-laints including nocturia, frequency and incomplete emptying of the bladder by means of its degenerative effect on lower urinary system, it has a particular importance for urology. Due to simila-rities in respect of symptoms and findings to prostatic obstructi-on, some times the patients may be misdiagnosed as having benign prostatic hyperplasia (BPH) and consequently undergo prostatic surgery when medical treatment suggested to be inadequate. This event may cause the patients’ complaints worsen and result in dist-ressing outcomes for both patients and urologists. Therefore urolo-gist should be sure if obstructive symptoms that sometimes are the only and preceding symptoms of MSA, resulted from BPH or be sure the patient has no MSA actually.
Key Words: Benign prostate hyperplasia, multiple system at-rophy, Parkinson’s disease
Abstract
Multiple system atrophy (MSA) is similar to Parkinson’s di-sease but it is more severe, early onset neurodegenerative disease and has a higher morbidity and mortality. The symptoms of the di-sease for lower urinary system may be seen before symptoms of other systems develope. Because the disease causes a lot of comp-laints including nocturia, frequency and incomplete emptying of the bladder by means of its degenerative effect on lower urinary system, it has a particular importance for urology. Due to simila-rities in respect of symptoms and findings to prostatic obstructi-on, some times the patients may be misdiagnosed as having benign prostatic hyperplasia (BPH) and consequently undergo prostatic surgery when medical treatment suggested to be inadequate. This event may cause the patients’ complaints worsen and result in dist-ressing outcomes for both patients and urologists. Therefore urolo-gist should be sure if obstructive symptoms that sometimes are the only and preceding symptoms of MSA, resulted from BPH or be sure the patient has no MSA actually.
Key Words: Benign prostate hyperplasia, multiple system at-rophy, Parkinson’s disease