Management of Urologic and Sexual Dysfunction in Parkinson Disease

Jason Margolesky; Sagari Betté; Carlos Singer

doi:10.1016/j.cger.2019.09.011

Management of Urologic and Sexual Dysfunction in Parkinson Disease

Clin Geriatr Med. 2020 Feb;36(1):69-80. doi: 10.1016/j.cger.2019.09.011. Epub 2019 Sep 10.

Authors

Jason Margolesky¹, Sagari Betté², Carlos Singer³

Affiliations

¹ Department of Neurology, University of Miami Miller School of Medicine, 1150 Northwest 14th Street, Suite 609, Miami, FL 33136, USA. Electronic address: jhmargolesky@med.miami.edu.
² Department of Neurology, University of Miami Miller School of Medicine, 1150 Northwest 14th Street, Suite 609, Miami, FL 33136, USA; Parkinson Disease and Movement Disorders Center of Boca Raton, 951 Northwest 13th Street, Suite 5E, Boca Raton, FL 33486, USA.
³ Department of Neurology, University of Miami Miller School of Medicine, 1150 Northwest 14th Street, Suite 609, Miami, FL 33136, USA.

PMID: 31733703
DOI: 10.1016/j.cger.2019.09.011

Abstract

Parkinson disease (PD) is a complex of motor and nonmotor symptoms. Among the nonmotor symptoms, urinary and sexual dysfunctions are common and negatively affect the quality of life. More than 50% of patients with PD complain of urinary dysfunction and 20% have sexual dysfunction. Understanding the anatomy and physiology of the urogenital system informs the rationale for the mechanism of action of drug therapies. The management of urinary and sexual dysfunction in PD, including behavioral, medical, and procedural interventions, is reviewed in this article.

Keywords: Lower urinary tract symptoms; Overactive bladder; Parkinson disease; Sexual dysfunction.

Publication types

Review

MeSH terms

Aged
Humans
Parkinson Disease* / complications
Parkinson Disease* / physiopathology
Parkinson Disease* / therapy
Patient Care Management / methods*
Quality of Life*
Sexual Dysfunction, Physiological* / etiology
Sexual Dysfunction, Physiological* / psychology
Sexual Dysfunction, Physiological* / therapy
Urination Disorders* / etiology
Urination Disorders* / psychology
Urination Disorders* / therapy