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Multiple Sclerosis: Bladder Problems - Topic Overview

A person with multiple sclerosis (MS) may have difficulty emptying the bladder completely, because the muscle that helps to retain urine cannot relax (a form of spasticity).

Sometimes urination can be stimulated by pressing or tapping the bladder area or by straining. Medicines can also help in some cases, including propantheline, oxybutynin (for example, Ditropan), or tolterodine (Detrol).

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When these methods or medicines do not help, you may have to use a urinary catheter, a thin flexible tube that you can insert into the channel through which urine exits the body (urethra). This is called intermittent self-catheterization. A little instruction and a few practice sessions with a nurse are all that are needed to learn to do intermittent self-catheterization. The procedure is usually done at the toilet.

  • The technique provides immediate relief of symptoms and helps prevent urinary tract infections and their complications.
  • Some people who have MS may only need to use the technique for a few weeks or months, because the bladder often recovers most of its normal function.

Urinary tract infections are common in people who have MS. Your doctor should check your urine whenever you have a flare-up, fever, or change in bladder symptoms.

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Medical Reference from Healthwise

    Last Updated: March 12, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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