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[Lower urinary tract dysfunction and stroke].

A Ruffion1, E Chartier-Kastler

  • 1Service d'urologie Lyon Sud, Centre Hospitalier Lyon Sud, UCBL Lyon 1, France. alain.ruffion@chu-lyon.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|July 12, 2007
PubMed
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Most stroke survivors experience temporary lower urinary tract dysfunction. Nonspecific voiding issues like incontinence and nocturia are common and complicate treatment, especially surgery, in frail patients.

Area of Science:

  • Neurology
  • Urology

Context:

  • Lower urinary tract dysfunction is common in the acute phase of stroke.
  • These issues typically resolve within months post-stroke.

Purpose:

  • To review the literature on chronic urinary disorders following stroke.
  • To highlight the incidence of nonspecific voiding disorders in post-stroke patients.

Summary:

  • While specific chronic urinary disorders post-stroke are rare, nonspecific issues like urgency-frequency syndrome and nocturia are frequent.
  • These common voiding disorders complicate the management of obstructive lower urinary tract disorders in frail stroke survivors.
  • Surgical outcomes for post-stroke patients are generally less favorable than in the general population.

Impact:

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  • Urologists need to carefully evaluate stroke patients before treatment, particularly surgery.
  • Understanding these common, nonspecific voiding issues is crucial for optimizing patient care and outcomes.