3.Urinary diversion - There are many different ways to reroute the way urine leaves the bladder. The discussion is too in-depth for IncontinenceNetwork.com, but in general, there are two primary ways that this can be achieved.
A. Continent catheterizable stoma - This involves “borrowing” a piece of small intestines and sewing it from the top of the bladder to the skin. You would be able to empty your bladder by passing a catheter through this small opening in your skin, through this bowel tube and empty your bladder.
B. Incontinent Ileal chimney - This also involves using a piece of small intestines (the ileum) and again goes from the top of the bladder to an opening on your skin, but is would constantly drain urine, and you would wear a bag which is concealed under your clothing. This is a good option for those who would have difficulty handling a catheter.
I hope this discussion helps you when discussing the next step with your physician. I think you have many options, like the ones listed above, and I hope others reading this who may also have urinary retention not only from MS but other conditions as well will find this helpful. Good luck!
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