supra pbic and ureathal catheters

  my wife,42. suffers from m.s. she had bladder retention with some leaking when laughing or coughing. she used self catheters for a while but had to stop because of left sided dysfunction. she had a ureathal catheter fitted but was very uncomfortable when sitting. eventually she had supra pubic catheter fitted, at the same time cystosopy done and scope inserted again as target for site. after this op she was totally incontinate from ureatha. she expelled the supra pubic catheter with ballon inflated out through the ureatha with the balloon and tube between her legs on several occassions. the balloon had to be cut off and the catheter drawn back through the ureatha and supra pubic site to fit a fresh one. because of this she had to wear two catheters, ureathal and supra pubic until a bladder/ureathal closure was done over 1 year later.
  can you comment on the possible cause of these bladder problems. the doctors here in england say that the sudden incontinance was caused by m.s. during the operation and if not, my wife is pychriatrically ill.
  please can you offer any other reason for this outcome
  regards
  peter andresen
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Dear Peter,
MS is one of the most common neurologic diseases causing voiding dysfunction.  The disease is caused by impairment of the conduction nerves involved in the function of the bladder.  50-88% of patients with this disease complain of some type of urinary tract dysfunction at some time during their disease process.  Bladder involvement is part of the presenting symptoms in approximately 10% of patients.  The primary urologic findings include, an overactive bladder which squeezes when it is not supposed to, a nonfunctioning (atonic) bladder that cannot squeeze at all, and a bladder that can squeeze but the sphincter or valve to empty the bladder won