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Introduction: Risk factors of urinary disorders in metabolic syndrome are known. Effect of their association is poorly documented. Objectives: Determine the types of metabolic syndrome as a largest provider of urinary disorders and impact of these on the quality of life. Methodology: We conducted a cross-sectional, descriptive, analytical multicenter study from january to May 2013. It was done in three centers: the departments of Physical Medicine and endocrinology of university hospital Ibn Rochd of Casablanca and the Lions Club's "Insulin bank" of Cotonou, Benin. All patients with metabolic syndrome were included. Metabolic syndrome was diagnosed for NCEP ATP III criteria. Variables such as demographic characteristics, metabolic syndrome, glycemia, triglyceridemia and HDL cholestrolemia were noted. Evaluation of Urinary disorder was conducted by Urinary Symptoms Profile scale (USP). Urinary Symptoms Profile scale has ten items. It accesses urinary incontinence, urge incontinence and dysuria. Evaluation of quality of life was conducted by SF Qualiveen Scale. SF Qualiveen evaluates bother with limitations, fears, feeling and frequency of limitations. Results: we included 68 patients. Women represented 82.2%. The mean of age was 54.43 years. Patients with diabetes represented 98.5%. The main types of metabolic syndrome were the following associations: diabetes, high blood pressure and obesity (19.1%); diabetes, high blood pressure and dyslipidemia (16.2%); diabetes, obesity and dyslipidemia (8.8%). Urinary disorders are reported in 51.5% of cases. The main urinary symptoms were overactive bladder (58.8%), urinary incontinence (32.4%) and dysuria (16.2%). Overactive bladder was found in 64.28% of women and in 50% of men. Forty seven point thirty six percent (47.36%) of patients with diabetic neuropathy have manifested dysuria. The average score of USP was 8+/-8.8. The average score of Qualiveen was 1.25. Metabolic syndrome is significantly associated to urinary disorders, especially the types diabetes-obesity-dyslipidemia (p=0.004) and diabetes-obesity-high blood pressure (HBP) p=0.001). Discussion: Urinary disorders in metabolic syndrome are dominated for overactive bladder. Overactive bladder is more frequent in women and patients aged less than 40 years. Risk factors of urinary disorder are diabetes and obesity. In metabolic syndrome, quality of life is impaired in patients with urinary disorders. Conclusion: Metabolic syndrome, especially the associations diabetes-obesity and diabetes-high body circumference (HBC) to others items, increased risk of urinary disorders. Urinary symptoms in metabolic syndrome are dominated by overactive bladder. Overactive bladder is more frequent in women and patients aged less than 40 years. Dysuria is unusual in metabolic syndrome and it's not always correlated to diabetic neuropathy. Quality of life is impaired in patients with urinary disorder.

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