Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 44 Page 45 Page 46 Page 47 Page 48 Page 49 Page 50 Page 51 Page 52 Page 53 Page 54 Page 55 Page 56 Page 57 Page 58 Page 59 Page 60 Page 61 Page 62 Page 63 Page 64 Page 65 Page 66 Page 67 Page 6835 msfocusmagazine.org involves providing an alternative pathway for urine to flow and be collected in a bag. It is only for patients with severe disability. Future possible solutions to treating urinary MS-related incontinence are being explored. Functional MRI, regarding brain mapping of lower urinary tract dysfunction in MS patients, is a new avenue being considered to improve diagnosis of urinary incontinence. To safeguard function of the urinary tract and improve quality of life in MS patients with urinary incontinence, a multi- disciplinary team approach – consulting with aneurologist,gynecologist,urologist, physiotherapist, psychiatrist, pharmacologist, nursing staff and caregiver – may improve options managing urinary incontinence and bladder dysfunction in patients with multiple sclerosis. Urinary incontinence is not a symptom that many people want to discuss, but the severe physical and emotional burdens of it are not something to be ignored. There are a variety of available treatments that have proven effective for others with MS, and, if you suffer from this symptom, might be able to help you, too. “Oral medication is a popular first-step treatment. But, if it proves to be ineffective, urologist may discuss other options.” Medication Options Several methods for treating patients with MS experiencing urinary incontinence include anticholinergic medications such as: • Oxybutynin • Tolterodine • Propantheline • Propiverine • Fesoterodine • Solifenacin Many, however, cannot tolerate the anticholinergic drugs because of side effects including dry mouth, blurred vision, and hallucinations. As an alternative, antimuscarinic medication, such as trospium chloride or darifenacin, or other medicine, such as L-Arginine, may be utilized. Darlene Borland: Your magazine was the first MS magazine that I received! It's nice to realize I'm not alone! Many, many, many years ago your magazine did an article on the cane covers I personally make. This has been an outlet for me when I’m not able to get out of the house. I try and keep positive even during the hard times I have been going through this last year with my mobility. Question asked: How has MS Focus changed your life? MS Focus is a member of thje Bladder Alliance