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Published on: August 28, 2020
Post-stroke urinary incontinence
International Journal of Clinical Practice
|July 10, 2013
Summary
Post-stroke urinary incontinence affects over a third of patients and is linked to worse outcomes. Prompt assessment and tailored management are crucial for improving recovery and continence in stroke survivors.
Area of Science:
- Neurology
- Gerontology
- Urology
Background:
- Post-stroke urinary incontinence (UI) is a prevalent complication affecting a significant portion of acute stroke patients.
- This condition is a strong indicator of stroke severity, correlating with poorer functional outcomes, increased institutionalization, and higher mortality rates.
Purpose of the Study:
- To conduct a comprehensive review of existing evidence regarding post-stroke urinary incontinence.
- To highlight the impact of UI on stroke patient outcomes and the current management strategies.
Main Methods:
- An extensive electronic database search was conducted to identify relevant studies and review articles.
- The search focused on literature published between 1966 and 2012 concerning urinary incontinence in the stroke population.
Main Results:
- Urinary incontinence affects over one-third of acute stroke patients, persisting in up to 25% at one year post-stroke.
- Continence is linked to better functional outcomes, while incontinence is associated with increased mortality and institutionalization.
- National audits reveal suboptimal management of post-stroke UI, with many stroke units lacking documented continence promotion plans.
Conclusions:
- Thorough assessment is recommended to determine the type and severity of post-stroke UI.
- Implementing individually tailored, structured management strategies to promote continence is essential.
- Improving continence management in stroke patients is associated with better overall stroke outcomes and should be a priority for healthcare professionals.
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