 Non pharmacological treatments involve the use of pelvic floor muscle training, stimulation, biofeedback, pessaries, bladder retraining, and sometimes intermittent catheterization.Bowel problems affect around 70% of patients, with around 50% of patients suffering from constipation and up to 30% from fecal incontinence.Cause of bowel impairments in MS patients is usually either a reduced gut motility or an impairment in neurological control of defecation.