In Germany are about 35 000 men affected by multiple sclerosis, an insidious disease of the central nervous system. Multiple sclerosis is a chronic inflammatory disease of the brain, spinal cord and nerves. The exact cause of the disease is not known yet. Researchers believe that the body?s own immune system classifies nerve tissue as foreign and attacks. Particularly affected are the nerve sheaths that protect similar to the insulation of electric cable, the nerves from the surrounding tissue. The nerve myelin sheaths are attacked by the body, there is an inflammation and later to the formation of scar tissue on nerve pathways. This scar formation in the nervous system lead to nerve signals are not or only slowly. Such short circuits in the electrical transmission of nerve impulses to and malfunction of muscles and organs. Usually ill young adults, while one third of men.
The disease can progress continuously or intermittently run and often has a decades-long history. Unfortunately, the course of the disease has been predictable, since there are no reliable prognostic parameters. The course of the disease can be very different. Some patients are fortunately only a few complaints over the years and rather mild symptoms. Others, however, suffer from moderate to severe sensory disturbances, paralysis of the arms and legs, constant fatigue (so-called fatigue), blurred vision and cognitive impairments. Not infrequently adds itself a depression. The function of internal organs such as bowel and bladder may be affected by multiple sclerosis. Thus, the disease also has the function of bladder and pelvic floor affect and lead to urinary incontinence. In 15% of the affected bladder dysfunction at diagnosis by the neurologist is present.
A disorder of the urinary tract can also be the only symptom in otherwise healthy people with MS. After ten years of disease, almost all MS patients have difficulty in urinating, or even incontinence. The bladder disorder can manifest itself in the early stages as frequent urination during the day and at night, increased urinary urgency and urge incontinence, we speak of a so-called hyperactive or spastic bladder. connect with progression of the disease often additional difficulties in urination, which result in incomplete bladder emptying with residual urine to the urinary retention can. After a while, so both the Harnspeicherung and micturition are affected. Bladder dysfunction can also be a cause of recurrent urinary tract infections, through frequent urination at night to a sleeping disorder and by a spasm of the bladder muscles to pain in the lower abdomen. The symptoms can be variable with time, it often comes after a push of multiple sclerosis in a deterioration of bladder function. Usually takes several years between symptom onset and the first consultation with neuro-urologist.
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