Sacral Neuromodulation Therapy for Incontinence with MS

Jul 8, 2025

Sacral Neuromodulation Therapy for Incontinence with MS

For individuals living with multiple sclerosis (MS), challenges with bladder or bowel control can become part of everyday life. One treatment that has gained attention in recent years is sacral neuromodulation—a therapy that targets nerve signals to improve control over these vital functions. But how does it work, and who is a good candidate?

This guide explores how sacral neuromodulation may help with urinary and bowel incontinence in MS, while also offering insight into supportive tools like bowel incontinence supplies and lifestyle considerations like weight management.

Understanding Incontinence in MS

MS is a chronic condition that disrupts the way the brain communicates with the rest of the body. Because the nerves controlling the bladder and bowels are often affected, urinary and bowel incontinence are common symptoms.

How to Treat Urinary Incontinence in MS

There are several approaches to treating bladder leakage in MS:

  • Pelvic floor physical therapy

  • Medications

  • Catheterization

  • Neuromodulation therapy

Products like bladder control pads for women, urinary incontinence pads for women, and adult incontinence pads can offer discreet protection while managing symptoms day-to-day. Many people use bladder leak pads, overnight incontinence pads, or bladder pads with wings depending on the level of leakage and comfort needed.

How Do You Treat Bowel Incontinence with MS?

Bowel issues in MS range from occasional leakage to full loss of control. Managing stool incontinence may include:

  • High-fiber diets

  • Scheduled toileting

  • Pelvic exercises

  • Bowel control products like pads for bowel incontinence or diarrhea underwear

  • Advanced therapies like sacral neuromodulation

What Is Sacral Neuromodulation?

Sacral neuromodulation (SNM) is a minimally invasive treatment that uses mild electrical impulses to stimulate the sacral nerves, which control the bladder, bowel, and pelvic floor muscles. A small device, similar to a pacemaker, is implanted near the lower spine to help regulate these functions.

What Is Sacral Neuromodulation for Multiple Sclerosis?

For individuals with MS, the nervous system may send confused or incomplete signals to the bladder and bowel. Sacral neuromodulation helps “retrain” the nerve pathways, improving voluntary control and reducing incontinence episodes.

While SNM does not cure MS or reverse nerve damage, it can offer significant relief for individuals whose symptoms are not well managed by other therapies.

Who Is a Candidate for Sacral Neuromodulation?

People who may benefit from SNM include those who:

  • Have not responded well to medication or physical therapy

  • Experience urge incontinence, fecal incontinence, or non-obstructive urinary retention

  • Have MS-related dysfunction but still retain some pelvic nerve activity

Who Is Not a Candidate for an InterStim?

InterStim is one of the most common SNM devices. However, individuals may not be eligible if they:

  • Have complete nerve damage with no residual sensation or control

  • Cannot undergo surgery safely

  • Have unresolved infections or bleeding disorders

  • Have certain implanted electronic devices that may interfere with InterStim

It’s essential to undergo a trial period to determine whether the therapy improves symptoms before moving to a permanent implant.

Supportive Products for Daily Confidence

In addition to advanced treatments, many people rely on incontinence pads and other products to manage leakage confidently.

Choosing the Right Bowel Incontinence Supplies

Depending on the severity and type of incontinence, options include:

  • Bowel incontinence pads for ladies

  • Male bowel incontinence pads

  • Faecal incontinence pads for men

  • Absorbent pads for fecal incontinence

  • Pads for urinary incontinence

  • Adult pads for heavy or overnight use

Some wonder, “Are Depends good for bowel incontinence?” or “Do Depends work for poop?” While each person’s experience varies, many find them reliable for moderate to heavy bowel leakage. Others prefer bladder pads for women designed specifically for female anatomy.

What Incontinence Product Holds the Most Urine?

There are best rated incontinence pads designed for maximum absorbency, often labeled as best overnight incontinence pads or large incontinence pads. If you’re wondering where to buy incontinence pads, they’re widely available online and at pharmacies, but choosing a brand that matches your comfort and absorbency needs is key.

Addressing Uncomfortable Symptoms: “Peeing Out of My Butt”?

It’s not uncommon for individuals with bowel dysfunction to describe sensations like “peeing out of my butt” or “can you pee out of your anus.” While this isn’t literally urination, watery stool or mucus leakage can feel similar. This symptom may suggest:

  • Diarrhea mismanagement

  • Muscle weakness or coordination issues in the rectum

  • Overactive bowel contractions

It’s important to talk with a healthcare provider to determine the cause and find the right management strategy.

MS and Weight Gain

Another factor to consider in managing incontinence is MS-related weight gain. Reduced mobility, medications, and fatigue can lead to:

  • MS weight gain and bloating

  • Increased pressure on the pelvic floor

  • Worsening of bladder or bowel symptoms

Staying as active as possible, even with low-impact exercises, and working with a dietitian can help manage this challenge and reduce strain on the pelvic region.


Final Thoughts

Sacral neuromodulation therapy offers hope for people with MS who are struggling with urinary or bowel incontinence. While not everyone is a candidate, those who qualify may experience life-changing improvements in control and comfort.

Whether you’re exploring advanced treatments or looking for reliable bowel incontinence supplies, you don’t have to navigate these challenges alone. Support, therapy, and innovative solutions are available to help you regain confidence and independence.

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