Effects of Lower Urinary Truct Symptoms on Quality of Life and Complementary Treatments in Multiple Sclerosis

Abstract

Multiple Sclerosis pattients suffer from physiological, psychological and social depending on the type and course of the disease. lower urinary tract symptoms is one of these physiological problems. These symptoms affect the person physiologically, psychologically and socially. Problems such as urinary incontinence, frequency, urgency, incontinence, retantion completely affect daily life of patients. These patients are socially isolated from the society because of frequency, incontinence. However, they limit fluid intake. Multiple sclerosis patients have to restrict shopping, meeting with friends and other social activities due to urinary symptoms. Urinary tract infection associated with low fluid intake and retention is more common in multiple sclerosis than the normal population. Lower urinary symptoms that seen in multiple sclerosis limit the patients life and negatively affect quality of life. In order to eliminate these complaints and increase the quality of life of the patients, these complaints can be minimized by initially bladder training, pelvic floor muscle exercises, nerve stimulation or catheter use. While bladder training extends urination intervals of the patients, pelvic floor muscle exercises reduce the lower urinary tract symptoms by strengthening the muscles. Neuromodulation aims to reduce lower urinary truct symptoms by suppressing neural impulses. Catheter use takes an important role in patients with urinary retention or urinary incontinence. With the catheter used, lower urinary truct symptoms are reduced.