Bladder Dysfunction - National Multiple Sclerosis Society

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Bladder Dysfunction

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In this article

Overview

Bladder symptoms occur in over 50% of people with MS. Common symptoms are:

  • Failure to store
  • Failure to empty
  • Combined failure to store/failure to empty

The Pyschosocial Implications of bladder dysfunction include:

  • Fear of drinking liquids
  • Anxiety over loss of control
  • Fear of leaving vicinity of bathroom
  • Embarrassment/shame; fear of incontinence during intercourse; increased fatigue due to interrupted sleep
  • Fear/embarrassment related to catheter use

 

Symptom: Failure to store

Description

  • Urgency, frequency, incontinence, nocturia

Treatment

Interventions:

  • Check for UTI; scheduled voiding; avoidance of diuretics

Medications:

  • Anti-cholinergic/anti-muscarinic agents [oxybutynin, tolterodine , hyoscyamine sulfate, propantheline bromide; trospium chloride, solifenacin succinate]
  • onabotulinumtoxinA (.pdf)

Symptom: Failure to empty

Description

  • Urgency, hesitancy, double voiding, feelings of incomplete emptying

Treatment

  • Check for UTI; intermittent self-catheterization (ISC); may require indwelling catheter

Symptom: Combined failure to store/failure to empty

Treatment

  • Combination of the above interventions and medications

Resources for clinicians

Resources for patients

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