Scleroderma is an autoimmune condition that primarily causes thickening of your skin. For some people, bladder or urinary problems may also develop. Some treatments for scleroderma may also cause bladder problems.
Scleroderma can cause tissue fibrosis in the urinary tract, including the bladder. This, along with nerve damage, can affect bladder function.
Bladder problems that may develop due to scleroderma include:
A 2019 study found that these lower urinary tract symptoms were more common in people with systemic sclerosis compared with the control group.
Treatment for scleroderma may cause bladder problems.
For example, your doctor may recommend cyclophosphamide, an immunosuppressant drug that can help improve skin fibrosis. Bladder problems are a possible side effect of the medication.
If you believe your scleroderma medication is causing bladder problems, it’s important to contact a doctor for advice.
Your doctor can recommend ways to manage bladder problems that occur due to scleroderma.
Following your treatment plan for scleroderma may help manage bladder problems. Your doctor may also recommend treatments for specific bladder symptoms. For example, for urinary incontinence, your doctor
- pelvic floor exercises
- bladder training
- managing liquid intake, particularly before bed
If symptoms develop due to medication, your doctor may recommend changing the dosage or trying a different medication. Keep taking the medication as your doctor has prescribed it until they recommend stopping or changing it.