Sexual and urological dysfunction in multiple sclerosis: better understanding and improved therapies

The fundamental strategy in treating multiple sclerosis patients with unstable bladders involves a combination of suppressing urgency and ensuring effective urinary drainage. Anticholinergics remain the first-line treatment, but alternative therapies are undergoing clinical trials. With a range of new proerectile oral medications available, interest has grown in treatment of multiple sclerosis-related erectile failure. Female sexual dysfunction is also now gaining some attention, with new classification criteria and methods for assessing and treating these patients.