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What is the best treatment for urologic problems in Multiple Sclerosis?
Urologic consultation is often useful to manage the neurogenic bladder.
The most common problem is a hyperreflexic bladder with a small capacity, early detrusor contraction, urinary frequency, and urgency.
It can be managed with medications such as oxybutynin (Ditropan), tolterodine (Detrol), or hyoscyamine (Levsinex).
A flaccid bladder (more rare) may require self-catheterization.
When sphincter–detrusor dyssynergia appears, medications to relax the sphincter, such as the alpha-adrenergic blocking agent prazosin (Minipress), may be useful.
Sources
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