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[Portable ultrasonographic device and bladder dysfunction management in stroke patients]
1Centre de rééducation fonctionnelle de Valmante, Traverse de la Gouffonne, 13009, Marseille, France.
Summary
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.
- 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.