Etiology, presentation and management of urinary tract infections in multiple sclerosis patients: A review of the current literature

Urologia. 2024 May;91(2):384-393. doi: 10.1177/03915603231224511. Epub 2024 Jan 27.

Abstract

Urinary tract infections (UTIs) present a formidable challenge in the care of individuals affected by multiple sclerosis (MS). Lower urinary tract dysfunction is a prevalent issue among MS patients, predisposing them to an elevated risk of UTIs. When left untreated, UTIs can further exacerbate the already compromised quality of life in individuals with MS. The diagnosis and management of UTIs in MS patients necessitate a careful clinical evaluation. The objective of this review is to delineate preventive strategies and current and developing therapeutic approaches for preventing and treating UTIs associated with urinary dysfunction, catheterization, and upper urinary tract infections in patients with MS. Effectively addressing UTIs and urinary tract dysfunction in individuals with multiple sclerosis calls for a comprehensive, interdisciplinary approach.

Keywords: Urology; lower urinary tract symptoms; multiple sclerosis; neurogenic bladder; quality of life; urinary tract infections.

Publication types

  • Review

MeSH terms

  • Humans
  • Multiple Sclerosis* / complications
  • Urinary Tract Infections* / complications
  • Urinary Tract Infections* / etiology
  • Urinary Tract Infections* / therapy