Patients with SPMS treated with urinary diversion or reconstruction who cannot tolerate in-dwelling catheters have improved continence and fewer urinary tract infections. However, patients with with preoperative indwelling catheters, diabetes, obesity and significant blood loss were at greatest risk of complications from surgery.
“A reminder that MS can be disabling and lead to severe bladder problems. We try our best to avoid having to refer patients for surgical procedures. This is another reason to support aggressive early treatment to prevent or delay the development of disability.”