Non-pharmacologic options for the management of voiding dysfunction in multiple sclerosis

Table 1 Comparison of studies of urinary diversion for neurogenic bladder in patients with multiple sclerosis

Study	Year	Location	Patient	Outcome
Urinary diversion/reconstruction for cases of catheter intolerant secondary progressive multiple sclerosis with refractory urinary symptoms[43]	2011	Lahey Clinic	26 MS patients (22 female) 15 ileovesicostomy, 7 enterocystoplasty and 4 ileal loop procedures	Improved continence and fewer UTIs
Management of neurogenic bladder dysfunction with incontinent ileovesicostomy[34]	1999	Wayne State	Thirteen patients incontinent ileovesicostomy 8 SCI, 4 MS, 1 TB Meningitis	Safe and effective at providing low pressure urinary drainage
Augmentation cystoplasty in patients with multiple sclerosis[38]	2003	Czech Republic	9 MS patients (7 females, 2 males)	Increased detrusor capacity and decreased pressure
Bladder neck closure and suprapubic catheter placement as definitive management of neurogenic bladder[39]	2011	Tulane	35 patients, 11 male 24 female 27 SCI, 5 MS, 4 other	97% continent, 8 requiring reprocedure to achieve continence
Functional outcomes after management of end-stage neurological bladder dysfunction with ileal conduit in a multiple sclerosis population: A monocentric experience[42]	2011	France	53 MS patients, 6 men 47 women	Statistically significant improved QOL
Robotic-assisted ileovesicostomy: Initial results[36]	2009	Lahey	8 MS patients	Safe and effective with minimal blood loss and shorter LOS
Prospective evaluation of laparoscopic assisted cystectomy and ileal conduit in advanced multiple sclerosis[41]	2012	France	44 MS patients, 34 women 10 men	Decrease in limitations and constraint scores and an increase in autonomy scores
A modification to augmentation cystoplasty with catheterizable stoma for neurogenic patients: Technique and long-term results[40]	2012	Methodist Hospital	12 MS patients	Safe and effective, no ureteral reimplants, no need for cystectomy

MS: Multiple sclerosis; UTI: Urinary tract infection; SCI: Spinal cord injry; TB: Tuberculosis; QOL: Quality of life; LOS: Length of stay.