امرأة عمرها ٤٤ سنة عندها تصلب متعدد، تشتكي إلحاحاً في البول وتسرباً، وأحياناً تحس أنها لم تفرغ المثانة كاملة، وجاءها التهاب بولي مرتين هذا العام. أي إجراء يقلل مضاعفات المثانة؟

A 44-year-old woman with MS reports urinary urgency and leakage, sometimes feels her bladder has not emptied fully, and has had two urinary infections this year. Which measure reduces bladder complications?

1. An indwelling catheter for every client straight away
2. Ignoring the symptoms as part of the disease
3. Check residual urine; intermittent catheter if needed
4. Severely restricting water all day

Answer: C) Check residual urine; intermittent catheter if needed. Neurogenic bladder in MS can cause retention and infection. Post-void residual is checked, clean intermittent self-catheterisation may be taught and drugs used by type. Fluid restriction increases infection.