b"neurogenic bladder. While this bladder issueemptying), urological consultation, and canalsocausefrequency,urgency,andurodynamic studies can help determine the incontinence, there is the added concern ofnature of the bladder dysfunction. the bladder never emptying entirely. UrinaryOveractive bladder symptoms are traditionally retention increases the risk for UTIs and maytreated with oral medications to help the bladder damage the kidneys over time.relax. Transcutaneous tibial nerve stimulation Some people living with MS may alsois a newer way of managing symptoms of an experience difficulty starting a urine stream.overactive bladder. With this procedure, the This symptom may be due to bladder dyssynergiaperson living with MS undergoes multiple or incoordination between the bladder musclesessions in the urologists office. Electrodes squeezing and the bladder sphincter opening.are placed on the lower leg and a small electrical Treatment for MS-related bladder issuesstimulus is used to help retrain the bladder. will depend upon which type of bladderAs evidenced by this study, these sessions dysfunctionapersonhas.Bladderscansmay result in a decrease in urinary urgency, (ultrasound to determine if the bladder isfrequency, and incontinence. Have you used any mobility aids or assistive devices? How have they helped you?Ken Gottlieb - A canehelps immensely. m.s. paints - I have an electric wheelchair. I use it for when I have to walk longer distances, since I get very sudden and intense fatigue. I haven't had it for long, and I'm still a bit nervous about using it on public transport, etc. But I'm incredibly grateful that, living in Norway, it wasn't difficult to get. Annmarie Pasquarelli Blanc - Cane and wheelchair Susan Duncan - I've used a cane and a walker. I've had MS for almost 30 years. I only use them when I'm having a bout. Deann Colvin Downs- I use a cane Ray Schnel - l started off using the walls and railings in my home, followed by cane, now using a walker. I hope this will be the last thing I use. Caitlin Anderson- Anything to keep my head off the oor. Nadine Johnson - I started out using a cane it helped with my balance. Now I'm using a rollator because I can't stand for more than 30 seconds alone. PT wants me to consider a scooter for more independence.Linda Nasrallah- A walker and cane when necessary. Thankful they are not permanently needed. Bench seat in my walk in shower. Somedays I am unsteady enough to appreciate the extra support going through the house. I take a cane if I know I will be on my feet for longer than 90 minutes away from home. 51 msfocusmagazine.org"