%0 Journal Article
%T The impact of bladder problems on well-being in multiple sclerosis - A cross-sectional study.
%A Islamoska S
%A Forman CR
%A Panicker JN
%A Flachenecker P
%A Phé V
%A Brichetto G
%A Blok B
%A Barken KB
%J Mult Scler Relat Disord
%V 87
%N 0
%D 2024 Jul 3
%M 38728957
%F 4.808
%R 10.1016/j.msard.2024.105661
%X <B>BACKGROUND: </B>Persons with multiple sclerosis (pwMS) frequently suffer from bladder problems that are not identified and managed optimally, reducing quality of life and increasing risk of health consequences.<BR><B>OBJECTIVE: </B>This study aimed to investigate associations between bladder problems and well-being of pwMS.<BR><B>METHODS: </B>The study included 1872 pwMS from France, Germany, Italy, and the UK self-reporting on demographics, MS status, bladder problems and management, and well-being. Logistic regression analyses were performed to investigate associations with self-reported well-being.<BR><B>RESULTS: </B>Population mean age was 51 years and 79 % were women. Among pwMS, 55 % reported bladder problems indicating overactive bladder (OAB), and 40 % reported self-experienced urinary retention. Self-management of bladder problems was reported by 32 %, 33 % were yet to have problem resolution, and 45 % reported a wish to receive bladder management help. Additionally, 35 % of pwMS reported that bladder problem onset preceded awareness of a link to MS. OAB, problem self-management, and urinary complications were significantly associated with lower well-being.<BR><B>CONCLUSIONS: </B>Bladder problems affect pwMS across disease subtypes and many attempt self-management. Consequently, pwMS with bladder problems are more likely to experience lower well-being, suggesting an unmet need. Raising awareness of the link between bladder problems and well-being could benefit pwMS living with bladder problems.