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
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).
People with secondary progressive multiple sclerosis (SPMS) start out with another type of MS -- relapsing-remitting multiple sclerosis.
If you've been diagnosed with SPMS you may have had relapsing-remitting MS for a decade or more. That's when you may begin to feel a shift in your disease.
The changes are often not easy to recognize. But you may notice that your relapses may not seem to fully go away.
Most people with relapsing-remitting MS -- about 80% -- eventually get secondary progressive...
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.
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
In this article
This information is produced and provided by the National
Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National
Institute via the Internet web site at http://
.gov or call 1-800-4-CANCER.
WebMD Medical Reference from Healthwise
March 12, 2014
This information is not intended to replace the advice of a doctor.
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