Patients with hereditary spinocerebellar ataxia commonly develop urological symptoms driven by overactive bladder — including urinary urgency, increased frequency, and incontinence. These storage symptoms can substantially impair daily functioning and are an important non-neurological target in disease management. This protocol specifically addresses patients without cognitive impairment.
First-line management focuses on conservative, non-pharmacological measures — incorporating tailored dietary modifications and structured behavioural strategies aimed at restoring bladder control. The complete protocol details the specific components and how they are individualised to the patient.