This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by De Ridder, D Articles by Nordenbo, A Search for Related Content PubMed PubMed Citation Articles by De Ridder, D Articles by Nordenbo, A Social Bookmarking                   What's this?

Conservative bladder management in advanced multiple sclerosis

Department of Urology, University Hospitals KU Leuven, Leuven 3000, Belgium, dirk.deridder{at}uz.kuleuven.ac.be

D Ost

Department of Urology, University Hospitals KU Leuven, Leuven 3000, Belgium

F Van der Aa

Department of Urology, University Hospitals KU Leuven, Leuven 3000, Belgium

M Stagnaro

Department of Urology, University Hospitals KU Leuven, Leuven 3000, Belgium

C Beneton

Centre Médical Germaine Revel, Mornant 69440, France

K Gross-Paju

Estonian MS Society Clinic, Tartu EE2400, Estonia

P Eelen

National MS Centre, Melsboek 1820, Belgium

H Limbourg

National MS Centre, Melsboek 1820, Belgium

M Harper

Department of Neuro-Urology, National Hospital of Neurology and Neurosurgery, London, UK

J C Segal

Central Middlesex Hospital, London, UK

C J Fowler

Department of Neuro-Urology, National Hospital of Neurology and Neurosurgery, London, UK

A Nordenbo

Hvidovre University Hospital, Hvidovre DK2650, Denmark

Anticholinergics and intermittent catheterization are the cornerstones of bladder management in early multiple sclerosis (MS). In advanced MS however, bladder management is based more on tradition than on evidence. Nurses seem to deal with catheter problems and chronic incontinence. Despite the abundant use of indwelling catheters, there is a lack for guidelines on catheter-induced problems. The psychosexual and social impact of bladder problems in advanced MS is often neglected. The international multidisciplinary special interest group on sexual, urological and bowel dysfunction in MS (SUBDIMS) as a special interest group of the Rehabilitation in Multiple Sclerosis (RIMS) was confronted with a high variability in practice and a lack of guidelines. A literature review was prepared during three multidisciplinary expert meetings. This review will be the basis of further initiatives to improve the urological treatment of patients with advanced MS.

Key Words: multiple sclerosis • neurogenic bladder • overactive bladder • urinary catheter

Multiple Sclerosis, Vol. 11, No. 6, 694-699 (2005)
DOI: 10.1191/1352458505ms1237oa


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				R. A. Marrie, G. Cutter, T. Tyry, T. Vollmer, and D. Campagnolo Disparities in the management of multiple sclerosis-related bladder symptoms Neurology, June 5, 2007; 68(23): 1971 - 1978. [Abstract] [Full Text] [PDF]