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[Portable ultrasonographic device and bladder dysfunction management in stroke patients].

P Granier1, P Audry, B Coste

  • 1Centre de rééducation fonctionnelle de Valmante, Traverse de la Gouffonne, 13009, Marseille, France.

Annales De Readaptation Et De Medecine Physique : Revue Scientifique De La Societe Francaise De Reeducation Fonctionnelle De Readaptation Et De Medecine Physique
|April 19, 2002
PubMed
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Portable ultrasound effectively assesses bladder volume in stroke patients with voiding issues. This simple, noninvasive tool aids in managing urinary retention and preventing long-term catheterization risks.

Area of Science:

  • Neurology
  • Urology
  • Rehabilitation Medicine

Background:

  • Stroke patients frequently experience bladder voiding impairment.
  • Early detection and management of urinary retention are crucial for rehabilitation.
  • Long-term catheterization carries risks of infection and complications.

Purpose of the Study:

  • To evaluate the utility of a portable ultrasonographic device for stroke patients with bladder voiding impairment.
  • To develop a screening protocol for assessing urinary retention in these patients.
  • To guide management and rehabilitation strategies, aiming to reduce catheterization duration.

Main Methods:

  • Prospective observational study involving 33 inpatients in a stroke rehabilitation program.
  • Utilized a Bladderscan BVI 3000 portable ultrasonographic device for bladder volume assessment.

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  • Applied a urinary elimination assessment protocol to determine intermittent catheterization needs.

    • Main Results:

    • Ten of 33 patients presented with urinary retention upon admission, requiring intermittent catheterization.
    • Seven of these patients showed resolved retention by discharge.
    • The portable ultrasound device provided accurate bladder volume assessment, particularly beneficial for high-risk patients (cognitive impairment, diabetes, pre-existing urinary issues).
    • An updated screening protocol improved the detection of true urinary retention.

    Conclusions:

    • Portable ultrasonography is a simple, noninvasive tool for diagnosing, monitoring, and guiding therapy for post-stroke urinary retention.
    • An adapted protocol can effectively assess and manage urinary retention, minimizing the need for prolonged catheterization and associated infectious risks.