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Related Experiment Videos

Bladder emptying assessment in stroke patients.

V E Garrett1, J A Scott, J Costich

  • 1Department of Rehabilitation Medicine, University of Kentucky, Lexington.

Archives of Physical Medicine and Rehabilitation
|January 1, 1989
PubMed
Summary
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Stroke patients frequently experience bladder emptying issues, impacting rehabilitation. Early identification and management of postvoid residual (PVR) are crucial for improving outcomes and preventing complications like urinary tract infections.

Area of Science:

  • Neurology
  • Urology
  • Rehabilitation Medicine

Background:

  • Stroke often leads to neurological deficits affecting bladder function.
  • Bladder dysfunction can complicate rehabilitation and recovery in stroke survivors.
  • Postvoid residual (PVR) is a key indicator of incomplete bladder emptying.

Purpose of the Study:

  • To evaluate bladder-emptying status in stroke patients undergoing rehabilitation.
  • To determine the incidence and persistence of incomplete bladder emptying.
  • To assess the relationship between incomplete bladder emptying and urinary tract infections (UTIs) in this population.

Main Methods:

  • Prospective evaluation of 85 stroke patients admitted to a rehabilitation center.
  • Sequential postvoid residual (PVR) catheterizations to assess bladder emptying.

Related Experiment Videos

  • Scheduled PVR monitoring throughout hospitalization for patients with initial incomplete emptying.

    • Main Results:

    • Initial incomplete bladder emptying was observed in 48 of 85 patients (56.5%).
    • Incomplete emptying persisted in 28 patients throughout their hospitalization.
    • The group with incomplete emptying showed a significantly higher incidence of urinary tract infections.

    Conclusions:

    • Incomplete bladder emptying is a common complication in stroke patients.
    • This condition requires proactive management within rehabilitation programs.
    • Addressing PVR is essential for optimizing stroke patient recovery and preventing UTIs.