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Randomised control trial bladder pressure management...
The project aimed to develop a systematic program for continence and urinary disorder management in patients with Multiple Sclerosis. It aimed to evaluate and compare two different management strategies to assess their effect on quality of life as well as their short and long term efficacy.
The project found that urinary problems in people with Multiple Sclerosis are associated with severe urogenital distress; that urinary treatment is associated with a significant reduction in urinary distress as demonstrated by all urinary outcome questionnaires tested, but the Urogenital Distress Index (UGDI) appears to be the most responsive of the questionnaires; and none of the existing urinary questionnaires specifically evaluate the effect of intermittent self catheterisation on urinary distress.
It was observed that collaborative research between Continence Nurse Advisors, Urologists, Neurologists and other health professionals is needed to determine the effectiveness or urinary management in people with Multiple Sclerosis, and that medical treatment of people with Multiple Sclerosis needs to be supplemented with education and support.
The systematic evaluation process developed for this study will deliver long term data regarding the effectiveness of standard strategies currently used for significant urinary problems in people with Multiple Sclerosis.
This project was an initiative of the University of Melbourne, Department of Surgery.
You can download a copy of the report:
- Final report - randomised control trial bladder pressure management vs management based on symptoms and residual volumes in patients with established Multiple Sclerosis
- Final report - appendices
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Page last updated 7 Apr 2009