What is new in symptomatic MS treatment: Part 3-bladder dysfunction

• Published in: Nervenarzt 2018-02, Vol.89 (2), p.184-192
• Main Authors: Henze, T, Feneberg, W, Flachenecker, P, Seidel, D, Albrecht, H, Starck, M, Meuth, S G
• Format: Article
• Language: ger
• Subjects: Behavior Therapy; Female; Follow-Up Studies; Humans; Male; Multiple Sclerosis - diagnosis; Multiple Sclerosis - physiopathology; Multiple Sclerosis - therapy; Patient Education as Topic; Quality of Life; Randomized Controlled Trials as Topic; Toilet Training; Urinary Bladder, Neurogenic - diagnosis; Urinary Bladder, Neurogenic - physiopathology; Urinary Bladder, Neurogenic - therapy; Urination Disorders - diagnosis; Urination Disorders - physiopathology; Urination Disorders - therapy; Urodynamics - physiology
• ISSN: 1433-0407
• DOI: 10.1007/s00115-017-0440-x

The symptomatic treatment of multiple sclerosis (MS) nowadays is of similar importance as immunotherapy within a comprehensive concept of therapy of this chronic disease, since it contributes considerably to the reduction of disabilities in activities of daily living as well as social and occupational life. Moreover, symptomatic treatment is of great importance for amelioration of quality of life. Since our last survey of symptomatic MS treatment in 2004 and publication of the guidelines of the German Neurological Society and the Klinisches Kompetenznetz Multiple Sklerose (KKNMS) in 2014 several developments within the topics of mobility, bladder and sexual function, vision, fatigue, cognition and rehabilitation took place. These new findings together with further aspects of disease measures and overall treatment strategies of the respective symptoms, as well as treatment goals are introduced in a series of six individual contributions. Here, the symptoms of bladder dysfunction will be discussed.