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Related Experiment Video

Updated: Sep 3, 2025

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Systematic voiding programme in adults with urinary incontinence following acute stroke: the ICONS-II RCT.

Caroline Watkins^1,2, Svetlana Tishkovskaya¹, Chris Brown¹

¹Lancashire Clinical Trials Unit, Applied Health Research Hub, University of Central Lancashire, Preston, UK.

Health Technology Assessment (Winchester, England)

|July 26, 2022

Summary

A systematic voiding program for stroke survivors with urinary incontinence showed a slight reduction in incontinence severity. However, the trial faced significant recruitment and retention challenges, limiting definitive conclusions.

Keywords:

BLADDER TRAINING SECONDARY CARE STROKE SYSTEMATIC VOIDING PROGRAMME URINARY INCONTINENCE, URINARY CATHETER

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Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Published on: December 29, 2023

Related Experiment Videos

Last Updated: Sep 3, 2025

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

Published on: August 14, 2019

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Published on: December 29, 2023

Area of Science:

Neurology
Gerontology
Urology

Background:

Urinary incontinence is common in stroke survivors, often worsening existing issues or appearing anew.
Effective management programs are needed to address incontinence early and reduce associated disability.

Purpose of the Study:

To evaluate the clinical and cost-effectiveness of a systematic voiding program for hospitalised stroke patients with urinary incontinence.

Main Methods:

A pragmatic, multicentre, randomised trial comparing a systematic voiding programme (assessment, behavioural interventions, review) with usual care.
Participants included adult stroke survivors with incontinence, including those with cognitive impairment.

Main Results:

The trial was stopped early due to low recruitment (157/1024 planned) and high attrition (45% missing primary outcome data).
The intervention group showed a slightly lower mean incontinence severity score at 3 months (8.1 vs 9.1), but results are underpowered and should be interpreted cautiously.

Conclusions:

The trial was not feasible due to recruitment, retention issues, and COVID-19 disruptions.
Further research is needed for interventions that extend into the community setting.