Most MSers experience Bladder control and Urination difficulties at some point during the course of MS. Bladder Dysfunction can usually be controlled with medication; to determine the most appropriate treatment method, it is first necessary to distinguish between:
This can be accomplished by recording the frequency of urination and the amounts of urine voided over a 48-hour period followed by determination of how much Urine remains in your Bladder after voiding.
A small residual amount would indicate a normal or small Spastic Bladder; while a large amount would indicate a Flaccid Bladder.
Treatment of a Spastic Bladder is accomplished with medication that inhibit the Bladder, by decreasing the transmission of nerve impulses that cause it to empty. These medication include Ditropan, Pro-Banthine, Levsin, Cystospaz, Urispas, Tofranil, and Ornade.
The treatment of a big, Flaccid Bladder is accomplished by Intermittent Self-Catherization and/or a prescription of Hytrin (Terazosin Hydrochloride). You should review your Bladder symptoms with your Neurologist or with a Urologist.