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Flow Chart
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Flow Chart MS International
Flow chart for investigation and treatment oflower urinary tract dysfunction
Click on panel for more information.
MS patient with symptoms of lower urinary tract dysfuntion
Rule out or treat UTI
Initial investigation
No residual urine
Residual urine
CIC
Follow up
If symptom free – continue routine follow up
If symptoms continue
Stress urinary incontinence
Pelvic floor training
If no effect after 6 months, refer to urologist/gynaecologist
Frequency, urgency - urge urinary incontinence
Anticholinergic medication
If no effect after 6 months, refer to urologist
Recurring UTI (women 4-5/year; men 2/year)
Prophylactic urine acidification/antibiotics treatment
If no effect after 6 months, refer to urologist