Urovesical dysautonomic symptoms are present in 27-97% of the patients with Parkinson's disease (PD) depending
on patients' selection criteria and methods used. The micturitional disturbances are typical of patients with more severe PD. The authors studied the urovesical function in 23 PD patients aged 41-60 years and without subjective micturitional complaints by uroflowmetry and ultrasound measurement of residual urine. Urovesical disturbances were established in 30,4% of the patients. The average results for Max Flow Rate (MFR) were 21,85 ±5,49 ml/sec and for residual urine 27,83 ±25,58 ml. The most influencing factor was the severity of the disease measured by the UPDRS. Our results were important additions to the existing information on the urovesical function in PD. Dysautonomic micturitional disturbances were found even in patients without subjective complaints in the early stages of the disease. Their degree correlated most closely to the severity of PD. The necessity of specialized examiantions of dysautonomic urovesical symptoms imposes the presence of a tailor-made patient approach for their early detection and adequate treatment.
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