title: Therapeutic strategies of urinary disorders in MS. Practice and algorithms.
abstract: OBJECTIVE
  Review the literature on therapeutic strategies and guidelines for the treatment of neurogenic bladder in multiple sclerosis.
  
  
  METHODS
  A search on available articles on consensus, recommendations guidelines and algorithm of treatment of urinary tract dysfunction in multiple sclerosis.
  
  
  RESULTS
  Five national consensus guidelines were recently published and proposed guidelines for the first and second line treatments.
  
  
  CONCLUSIONS
  Multiple sclerosis patients suffering from lower urinary tract disorders must benefit from an early diagnosis and simple first line evaluation and treatment. More complex and invasive evaluation in the neuro-urology unit is appropriate for patients who failed to first line treatment or in case of complications.
authors: Unité de neuro-urologie, service de médecine physique et de réadaptation, hôpital Raymond-Poincaré, AP-HP, université Versailles - Saint-Quentin, 104, boulevard Raymond-Poincaré, 92380 Garches, France. Electronic address: pierre.denys@rpc.aphp.fr.
authors: P
authors: P
authors: Denys
authors: Service d'urologie, hôpital de la Pitié-Salpêtrière, université Pierre-et-Marie-Curie - Paris 6, 75013 Paris, France.
authors: V
authors: V
authors: Phe
authors: Unité de neuro-urologie, service de médecine physique et de réadaptation, hôpital Raymond-Poincaré, AP-HP, université Versailles - Saint-Quentin, 104, boulevard Raymond-Poincaré, 92380 Garches, France.
authors: A
authors: A
authors: Even
authors: Service d'urologie, hôpital de la Pitié-Salpêtrière, université Pierre-et-Marie-Curie - Paris 6, 75013 Paris, France.
authors: E
authors: E
authors: Chartier-Kastler
mesh_terms: D000465:Algorithms; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications*; D017410:Practice Guidelines as Topic; D001750:Urinary Bladder, Neurogenic / Q000209:etiology* / Q000628:therapy*
keywords: Antimuscarinic; Antimuscarinique; Incontinence; Multiple sclerosis; Neurogenic bladder; Sclérose en plaques; Vessie neurogène