Multiple Sclerosis

In MS, the immune systems attacks the protective sheath (myelin) or insulating layer that protects nerves in the body, causing communication problems between the brain and rest of the body, and can eventually create neurological issues and impairments.

Symptoms will vary as not everyone experiences MS the same. Symptoms can range from mild to severe and are determined by location of the nerve damage.

Bladder Management and Treatment Options

Bladder symptoms can usually be managed successfully with lifestyle modifications, medications, physical therapy and/or nerve stimulation procedures. Always speak with a healthcare provider to select the optimal treatment approach after a careful assessment of bladder symptoms.

Options may include:

• Medications in a variety of forms are available to address specific bladder symptoms in MS.
• Pelvic floor physical therapy (often prescribed for spastic or overactive bladder symptoms) targets the group of muscles attached to the pelvic bone and sacrum that rule bladder and bowel function.
• Percutaneous tibial nerve stimulation (PTNS) (for symptoms of spastic or overactive bladder), designed to stimulate the nerves responsible for bladder control using the tibial nerve in your lower leg.
• Intermittent self‐catheterization may be recommended for difficulty emptying the bladder. Using an intermittent catheter one or more times per day can help control bladder leakage, urgency and frequency, and nighttime urination in people who cannot completely empty their bladder on their own.
• Other surgical interventions are available to address urinary problems that do not respond adequately to any of these interventions.

If experiencing bladder problems, like urinary retention or incomplete bladder emptying, speaking with a healthcare professional is most important to discuss what options may be best for you.