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Voiding Symptoms and Bladder Function Following CVA: A Prospective Time Course Study.

T A Linsenmeyer1, R U Anderson2, M B Lawton2

  • 1UMDNJ-New Jersey Medical School, Newark, NJ Kessler Institute for Rehabilitation, West Orange, NJ.

Neurorehabilitation
|February 15, 2014
PubMed
Summary
This summary is machine-generated.

Urinary incontinence often resolves after cerebrovascular accidents (CVAs), but persistent urinary frequency and nocturia significantly impact lifestyle. Bladder overactivity continues a year post-stroke, irrespective of symptom resolution.

Keywords:
Urinary incontinencecerebrovascular accidenturodynamics

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Area of Science:

  • Neurology
  • Urology
  • Clinical Medicine

Background:

  • Cerebrovascular accidents (CVAs) can lead to various neurological deficits, including lower urinary tract symptoms.
  • Previous research primarily focused on urinary incontinence post-stroke, with most studies reporting resolution.

Purpose of the Study:

  • To prospectively evaluate persistent urinary complaints and bladder physiology following acute cerebrovascular accidents (CVAs).
  • To assess the long-term impact of CVAs on bladder function and associated symptoms.

Main Methods:

  • Prospective study involving consecutive patients with acute CVAs.
  • Regular urodynamic assessments and voiding history evaluations were conducted at multiple time points post-CVA (1-2 weeks, 1-2 months, 4-10 months, and 9-15 months).

Main Results:

  • Urinary incontinence resolved in the majority of patients.
  • Persistent urinary frequency and nocturia were reported, significantly impacting patients' lifestyles.
  • Urodynamic studies at one year revealed persistent uninhibited bladder contractions, despite the resolution of incontinence.

Conclusions:

  • While urinary incontinence may resolve post-CVA, other lower urinary tract symptoms like frequency and nocturia can persist.
  • Persistent bladder overactivity is evident a year after stroke, indicating ongoing physiological changes.
  • No clear association was found between the location of the CVA in the right hemisphere and the development of urologic symptoms.