Voiding Phase Dysfunction in Multiple Sclerosis: Contemporary Review of Terminology, Diagnosis, Management, and Future Directions

Authors

Catherine Frances Ingram
John A Lincoln
Rose Khavari

Publication Date

5-1-2024

Journal

Urologic Clinics of North America

Abstract

Lower urinary tract symptoms (LUTS) are highly prevalent in individuals with multiple sclerosis (MS). However, assessment of these symptoms is often hindered by vague definitions or absence of screening in asymptomatic patients. It is crucial to exercise caution when applying the non-neurogenic definition of urinary retention in this population. For men with MS experiencing persistent and treatment-resistant LUTS, urodynamic studies should be used to identify the underlying causes of symptoms. Although numerous therapies are presently accessible for managing LUTS in MS, there is a need for further investigation into emerging treatments such as percutaneous tibial nerve, and noninvasive brain stimulation.

Keywords

Male, Humans, Lower Urinary Tract Symptoms, Multiple sclerosis, Neurogenic bladder, Urodynamics, Voiding dysfunction

DOI

10.1016/j.ucl.2024.01.005

PMID

38609190

PMCID

PMC11528427

PubMedCentral® Posted Date

5-1-2025

PubMedCentral® Full Text Version

Author MSS

Published Open-Access

yes