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[Incontinence after stroke].

Renate Pettersen1

  • 1Universitetsenheten, Geriatrisk avdeling, Ullevål universitetssykehus, 0407 Oslo. rrpettersen@yahoo.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 24, 2007
PubMed
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Stroke-related incontinence is common and indicates a poor prognosis, often persisting long-term despite some spontaneous improvement. Effective management requires understanding contributing factors and tailored treatment approaches.

Area of Science:

  • Neurology
  • Geriatrics
  • Rehabilitation Medicine

Background:

  • Cerebral stroke frequently leads to urinary and fecal incontinence.
  • Incontinence significantly impacts patient prognosis and quality of life post-stroke.

Purpose of the Study:

  • To provide a comprehensive overview of stroke-related incontinence.
  • To examine incidence, prevalence, risk factors, natural course, and management strategies.

Main Methods:

  • Literature review utilizing MEDLINE database over the past 15 years.
  • Incorporation of clinical and research expertise.

Main Results:

  • Stroke-related incontinence is a prevalent, burdensome symptom associated with adverse outcomes.

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  • While spontaneous remission occurs, chronic incontinence affects a substantial patient subset.
  • Impaired central inhibition of the micturition reflex and cognitive deficits are key contributors.

    • Conclusions:

    • Effective management necessitates understanding bladder and bowel function and individual patient factors.
    • Established therapies for urinary incontinence may benefit stroke patients.
    • Further research is critically needed, particularly for post-stroke fecal incontinence.