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Sexual and urological dysfunction in multiple sclerosis: better understanding and improved therapies
Ranan DasGupta1, Clare J Fowler
1Department of UroNeurology, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK. ranandg@yahoo.co.uk
Current Opinion in Neurology
|June 5, 2002
Abstract:
The fundamental strategy in treating multiple sclerosis patients with unstable bladders involves a combination of suppressing urgency and ensuring effective urinary drainage. Anti-cholinergics remain the first-line treatment, but alternative therapies are undergoing clinical trials. With a range of new pro-erectile oral medications available, interest has grown in treatment of multiple sclerosis-related erectile failure. Female sexual dysfunction is also now gaining some attention, with new classification criteria and methods for assessing and treating these patients.