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Updated: Jul 31, 2026
07:30
Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Voiding and sexual dysfunction after cerebrovascular accidents.
1Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
The Journal of Urology
|February 15, 2001
Summary
Stroke significantly impacts lower urinary tract function, causing symptoms like urinary frequency and incontinence. Early assessment and conservative management are recommended, with potential for improvement over time and consideration for sexual dysfunction treatment.
Area of Science:
- Urology
- Neurology
- Rehabilitation Medicine
Background:
- Cerebrovascular accidents (stroke) frequently lead to urological complications.
- Understanding these manifestations is crucial for comprehensive patient care and rehabilitation.
Purpose of the Study:
- To review current knowledge on urological and sexual dysfunction following stroke.
- To discuss the management strategies for these conditions.
Main Methods:
- Comprehensive MEDLINE literature search.
- Incorporation of clinical experience from acute stroke, rehabilitation, and ambulatory care settings.
Main Results:
- Urinary frequency, urgency, and urge incontinence are predominant symptoms.
- Detrusor hyperreflexia is the most common urodynamic finding.
- Urinary incontinence in acute stroke is linked to higher mortality; sexual dysfunction is common in both sexes.
Conclusions:
- Stroke profoundly affects lower urinary tract function, potentially causing significant morbidity.
- Conservative management is advised initially, with assessment and treatment of sexual dysfunction considered for improved quality of life.
- Improvement in urological function is common with time, especially in well-rehabilitated patients.
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