Restoring Control: Bladder and Bowel Function Assessment in Multiple Sclerosis Rehabilitation

Abstract

Aims: This study aim was to evaluate the impact of multiple sclerosis on bowel and bladder function and its consequences for socialization and sexual function in MS patients. Additionally, it sought to investigate potential variations in these effects among different MS subtypes. Methodology: A total of 780 participants were internationally recruited, with a predominant representation from the United States. Participants completed self-reported surveys assessing bowel and bladder function, and their MS subtype (relapsing-remitting, primary progressive, or secondary progressive) was documented. Results: Findings indicated that most respondents reported occasional issues with bowel and bladder function. Notably, individuals with primary progressive and secondary progressive MS demonstrated a higher prevalence of bowel and bladder difficulties compared to those with relapsing-remitting MS. Scientific Novelty: This study offers new insights by highlighting the distinct impact of MS subtypes on bowel and bladder function. It underscores the importance of understanding how MS affects various functions of the organism, beyond the central nervous system, and its repercussions for patients' quality of life. Practical Significance of the Results Obtained: The practical significance of this research lies in its potential to inform clinical practice and enhance the QoL for MS patients. Recognizing the unique challenge faced by individuals with primary progressive and secondary progressive MS in terms of bowel and bladder function enables the healthcare providers tailoring interventions and accordingly supporting services. Conclusion: The Multiple sclerosis exerts a multifaceted impact on patients. This study underscored that the type of MS a patient has can significantly affect their bowel and bladder function, potentially leading to difficulties in socialization and sexual function. Acknowledging the study's limitations, including the self-reported data, these findings emphasized the importance of comprehensive care strategies for MS patients.