Urinary symptoms are a common and impactful complication of hereditary spinocerebellar ataxia. This protocol addresses the first-line management of overactive bladder symptoms — urgency, frequency and incontinence — in individuals without cognitive impairment, with the aim of achieving continence.
Individuals with hereditary spinocerebellar ataxia frequently experience urinary storage problems. The most common presentation includes urgency, frequency and incontinence, collectively constituting overactive bladder symptoms. This protocol applies to those without cognitive impairment.
Management of overactive bladder in this context centres on a class of medications that targets bladder overactivity. For individuals with a specific pattern of incomplete bladder emptying, an additional bladder management technique may also be required. The complete selection criteria, options and full treatment algorithm are available via the link below.
Continence achieved — resolution of overactive bladder symptoms including urinary urgency, frequency and incontinence.