Introducing the
MS Urinary Function Screening Tool

A validated, self-administered screening tool to help identify MS patients with bladder symptoms who could benefit from a urologic evaluation.

Up to 80% of people with MS will suffer from some degree of bladder dysfunction, including urinary incontinence-yet only a minority are adequately managed.

MS Urinary Function Screening Tool

The peer validated MS Urinary Function Screening Tool was created in response to the growing need for an accurate way to identify MS patients with bladder problems.

This screener asks patients 8 key questions to uncover:

  • Whether they are experiencing urinary symptoms
  • To what degree
  • What the effects of these symptoms are on the patient's daily life
  • Whether their bladder issues warrant referral to a urologist

Meet the Steering

The Actionable MS Urinary Function Screening Tool was developed using the valuable insights and experiences of the following experts in MS and bladder health:

David Bates, MD

University of Newcastle, Claremont Rd
Newcastle Upton Tyne United Kingdom

Jack Burks, MDD

Burks and Associates 650 John Fremont Drive
Renu, NV, United States of America 89509

Michael Chancellor, MD

Oakland University William Beaumont School of Medicine
5836 Feree St Pittsburgh, PA, United States 15217

Pierre Denys, MD

Raymond Poincarer Hospital
Department of Neurological Rehabilitation 92380 Garches France

Dirk DeRidder, MD

University Hospitals KU Leuven
Herestraat 49/a, 3000 Leuven, Belgium

Gwen Gonzales, CNS

University College London, Queen Square City of
London WC1N 3BG, United Kingdom

Chris Hudges, MD

Southern Maine Medical Center 26A West Cole Road
Biddeford, ME United States of America 04005

Scott MacDiarmid, MD

Alliance Urology Specialists 509 North Elam Ave. Greensboro,
NC, United States of America 27403

Ulrich Mehnert, MD

Balgrist University Hospital, Zurich
Spinal Cord Injury Center Forchstrasse 340 8008 Zurich District, Switzerland

Victor Nitti, MD

NYU Langone Medical Center 550 First Avenue
New York, United States of America NY 10016

lb Odderson, MD

University of Washington 1700 116th Ave., NE
Bellevue, WA United States of America 98104

Jalesh Panicker, MD

University College London Queen Square City of
London WC1N 3BG, United Kingdom

Arm Perrin Ross, APN, MSN, CNRN, MSN

Loyola University 2160 S. First Ave. Maywood, IL
United States of America 60153

Mark Tullman, MD

Missouri Baptist Medical Center 3015 North Ballas Road
Saint Louis, MO United States of America 63131

MS Urinary Function
Screening Tool

Take a few minutes to experience the Actionable MS Urinary Function Screening Tool as your MS patient would by answering all the 8 questions. After you have completed the screener, tap the box below to tabulate your score. The results will be explained on the next screen.

For the following questions, please put a check below the response which best describes your bladder symptoms over the past 7 DAYS.
1. During the day, how often did you feel that you had to urinate right away? None of
the time
 Some of the time
 Most of the time
 All of the time
2. How often have you had urinary accidents/leakages? None of
the time		 Some of the time Most of the time All of the time
3. During the day, how strong was the feeling that you needed to urinate right away? Not at all strong A little strong Moderately Strong Extremely Strong
4. On a typical night, how often did you wake up in the night to urinate? None of
the time		 One time Two times Three or
more times
5. On a typical day, how many times did you urinate? 0-3 times 4-6 times 7-11 times 12+ times
For the following questions, please put a check below the response which best describes impacts from bladder symptoms you may have experienced RECENTLY.
6. How much have your activities with friends and family been limited by your bladder problems? Not at all A little Moderately Extremely
7. How embarrassed have you been because of your bladder symptoms? Not at all A little Moderately Extremely
8. How much has your ability to work (paid or volunteer) outside the home been limited by your bladder problems? Not at all/ Doesn't apply A little Moderately Extremely
Please answer Yes or No
WOULD YOU LIKE TO RECEIVE HELP FOR YOUR BLADDER PROBLEMS?		 YesNo

Understanding
the Results

Your score is: 8

Any checked box in the 3rd or 4th right hand column would incur a point.

A score of ≥ 3 would indicate to you and your patient that they may need further evaluation of their bladder health. The screener also advises the patient that a result of ≤ 3 should be discussed with their healthcare provider.

Putting it
into Practice

Consider using the peer validated Actionable MS Urinary Function Screening Tool as a routine standard of care in your practice. It can help you determine the patients who may benefit from a urologic referral for their bladder health issues.

If you have any questions or would like to know more, please speak with the Allergan representative at this booth.

Refernces

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