Study of Bladder-sphincter Symptoms in Functional Neurological Disorders

Study of Bladder-sphincter Symptoms in Functional Neurological Disorders

A significant proportion of patients with functional neurological disorders (FND) report urinary, anorectal or genitosexual disorders. However, until now, no study has focused on bladder-sphincter disorders in patients with FND. The symptoms of this pathology are, therefore, not precisely characterized.

Thus, the objective of this research is to specify if urinary, anorectal or sexual disorders can be observed in patients suffering from functional neurological disorders and to better describe them in order to propose better therapeutic options.

In this clinical study the investigators want to prospectively include all patients presenting to a neurology consultation or day hospital for management of a motor or sensory FND.The patients will first be evaluated for their sphincter functions by self questionnaires. For those where a vesico-sphincter complaint is demonstrated, a neuro-urological consultation will be proposed. A follow-up will then be done, if necessary, in neurology and neuro-urology.

Inclusion Criteria:

• Patient over 18 years of age
• Diagnosis of Functional Neurological Disorders according to DSM 5 criteria
• No neurological comorbidity that could account for the sphincter disorders
• Normal cerebral and spinal cord magnetic resonance imaging.
• Patient affiliated to a French social security system
• Patient informed and not objecting to participate in the study

Non inclusion Criteria :

• Presence of neurological comorbidity that can account for sphincter disorders (e.g. multiple sclerosis, chronic neuropathy, etc.)
• Pregnancy in progress
• Candidate for surgery or locoregional treatment
• Patient subject to legal protection measures.
• Patient under state medical assistance