De Ridder D, Ost D, Van der Aa F, Stagnaro M, Beneton C, Gross-Paju K, Eelen P, Limbourg H, Harper M, Segal J C, Fowler C J, Nordenbo A
Department of Urology, University Hospitals KU Leuven, Belgium.
Mult Scler. 2005 Dec;11(6):694-9. doi: 10.1191/1352458505ms1237oa.
Anticholinergics and intermittent catheterization are the cornerstones of bladder management in early multiple sclerosis (MS). In advanced MS however, bladder management is based more on tradition than on evidence. Nurses seem to deal with catheter problems and chronic incontinence. Despite the abundant use of indwelling catheters, there is a lack for guidelines on catheter-induced problems. The psychosexual and social impact of bladder problems in advanced MS is often neglected. The international multidisciplinary special interest group on sexual, urological and bowel dysfunction in MS (SUBDIMS) as a special interest group of the Rehabilitation in Multiple Sclerosis (RIMS) was confronted with a high variability in practice and a lack of guidelines. A literature review was prepared during three multidisciplinary expert meetings. This review will be the basis of further initiatives to improve the urological treatment of patients with advanced MS.
抗胆碱能药物和间歇性导尿是早期多发性硬化症（MS）膀胱管理的基石。然而，在晚期MS中，膀胱管理更多地基于传统而非证据。护士似乎在处理导尿管问题和慢性尿失禁。尽管留置导尿管使用广泛，但缺乏关于导尿管引发问题的指南。晚期MS中膀胱问题对心理性和社会性的影响常常被忽视。作为多发性硬化症康复（RIMS）特别兴趣小组的国际多学科性、泌尿和肠道功能障碍特别兴趣小组（SUBDIMS）面临着实践中的高度变异性和缺乏指南的问题。在三次多学科专家会议期间进行了文献综述。这篇综述将作为进一步改善晚期MS患者泌尿外科治疗举措的基础。
