Q. I have multiple sclerosis. Can I get artificial valve for urinary incontinence?

Answered by
Dr. Raja Ramesh
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 30, 2017

Hi doctor,

I have secondary progressive multiple sclerosis. I am a 37 year old male. My weight is 165 pounds and height is 6 feet. My neurologist is treating my MS with two rounds of Rituximab infusions (low dose chemotherapy) every six months and a twice-daily dose of an Ampyra capsule. I also take Cymbalta (for depression), Ropinirole (for restless leg syndrome), Magnesium, and Vitamin D. I suffer from urinary incontinence. I have to use a catheter to urinate, and lately, I have been getting blood in my urine and on the catheter after I remove it. My question involves possible treatments for this. I have frequent UTIs and trying to come up with a way to stop this cycle. Is there any artificial valve that can be surgically placed in the urethra to control when my bladder releases consciously? I read something about a surgical valve replacement used in prostate cancer patients who have had their prostate removed. A control for this valve is placed in the scrotum, and the device apparently replaces the natural valve. I am curious if this surgery could be adapted to treat my incontinence.

Dr. Raja Ramesh

Andrology Urology


Welcome to icliniq.com.

  • Multiple sclerosis is a progressive disease. So with time, incontinence may change in either direction, positively or negatively.
  • The best option is what you have been doing. It is called CIC (clean intermittent catheterization). It is adaptable to all stages of disease progression.
  • Artificial urinary sphincter is ideally indicated only in the stable disease like post-prostatectomy incontinence where there will be no progression after two to three years. So, I would not recommend it for multiple sclerosis.
  • Regarding urinary infection, it is bound to occur in anyone on CIC. It needs treatment only when you have symptoms like pain, hematuria, frequency, dysuria, etc. Antibiotics based on the urine culture needs to be given.
  • Once you are asymptomatic, then daily low dose prophylactic antibiotic can prevent repeated infection.

For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

Was this answer helpful?


This is an Ad. icliniq or icliniq doctors do not endorse the content in the ad.

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What is the chance of multiple sclerosis in pars planitis?

Query: Hi doctor, I have had burning sensations on my skin since 14 years. I am also very much sensitive to touch, which feels like my entire body is bruised all over. It is so hard to explain, but that is the best way I can put it into words. I feel inflamed all over at times. I had a brain MRI before ...  Read Full »

Will antibiotics affect the sputum report?

Query: Hi doctor, I have cough for about a week. It is a mild one with a bit sore throat. So, I did my sputum test in a laboratory and the following are the results I received today. Acid fast bacilli smear - acid fast bacilli not detected. In sputum culture and sensitivity, culture - negative, organism - ...  Read Full »



Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.