Cerebrovascular accidents. Urological effects and management

Advanced age should not be a contraindication to the evaluation of a geriatric patient who presents with bladder dysfunction after a cerebrovascular accident. A team approach consisting of the geriatrician and the urologist is beneficial to the care of the patient. Once a problem has been identified, the pathophysiology can be worked out and a rational approach can be formulated for the patient. A return to continence in most patients is possible with a combination of medical and surgical treatment.