Sclérose en plaques et autosondage intermittent

Abstract

Lower urinary tract dysfunctions are frequent in patients with multiple sclerosis (MS). These disorders impair quality of life and can cause urological complications. In cases of urinary retention or incomplete bladder emptying, clean intermittent self-catheterization is the preferred option where possible. To identify data concerning the use of intermittent self-catheterization by patients with MS. A review was done using Medline/Pubmed with selection of articles in either English or French. The key words were: «multiple sclerosis and intermittent catheterization, self-catheterization, neuro-urology/urinary guidelines, continent stoma, continent vesicostomy». Studies were selected if they concerned either multiple sclerosis exclusively or with a majority of cases concerning MS. Intermittent self-catheterization is recommended and commonly used in patients with MS. Studies are rare in this specific population. Questions still remain about indications and practicalities in this disease. Indications must be individually evaluated according to symptoms and complications. The use of self-catheterization can improve symptomatology or quality of life, however, global urinary management is necessary. Urinary infection is the most frequently reported side effect. The teaching of self-catheterization should take into account physical and cognitive impairment. Due to the developing nature of the pathology, indications and the patients' ability to carry out self-catheterization should be regularly assessed. The search was limited to a single bibliographic source and studies are rare. Further studies are necessary to increase knowledge of self-catheterization specificities in MS patients compared to other neurogenic patients.