Impact of intermittent catheterization on the quality of life of multiple sclerosis patients

Abstract

Intermittent catheterization (IC) in association with overall urinary management, among patients affected by MS, is well accepted and reduces the impact of urinary dysfunction on their quality of life.

Catheterization for treating neurogenic lower urinary tract dysfunction in patients with multiple sclerosis: A systematic review. A report from the Neuro‐Urology Promotion Committee of the International Continence Society (ICS)

“…The risk of bias and confounding was intermediate in the majority of included studies (Supplementary S2). A favorable risk of bias and confounding profile was found in one study …”

“…A conflict of interests was disclosed in one study . None of the studies reported on the role of the funding source in the study.…”

“…The only prospective cohort study with a pre‐/post‐treatment design reported statistically significant improvement of bladder‐specific QoL by using the QUALIVEEN questionnaire . Additionally, the questionnaire‐based retrospective cross‐sectional study showed improvement in QoL in 79% (55/70) of assessed MS patients .…”

“…Of the four included studies, one was a prospective and two were retrospective cohort studies, and one was a retrospective cross‐sectional study (Table ). Overall, the four included studies enrolled a total of 445 patients with MS: 256 women (57%), 117 men (27%), and 72 patients (16%) for whom gender was not reported.…”

“…Although this systematic review represents, to the best of our knowledge, the first study to review and synthesize systematically all available evidence on efficacy and safety of catheterization for treating NLUTD in patients with MS, there are limitations that should be mentioned: number of included articles, number of investigated patients and observation period. Moreover, only two out of four included studies reported on the severity of MS and none reported on the severity of NLUTD. Additionally, all included studies were single‐armed without a control group and used catheters were not specified.…”