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Related Experiment Videos

Urinary incontinence after stroke: a prospective study.

M J Borrie, A J Campbell, T H Caradoc-Davies

    Age and Ageing
    |May 1, 1986
    PubMed
    Summary
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    Urinary incontinence is common after stroke, affecting over half of survivors initially. However, continence improves over time, especially for mild cases, with factors like motor deficit influencing outcomes.

    Area of Science:

    • Neurology
    • Urology
    • Geriatrics

    Background:

    • Urinary incontinence is a frequent complication following stroke.
    • Understanding its incidence and predictors is crucial for patient care and rehabilitation.

    Purpose of the Study:

    • To prospectively investigate the occurrence and outcome of urinary incontinence in stroke survivors.
    • To identify factors associated with post-stroke urinary incontinence and its resolution.

    Main Methods:

    • Prospective study of 154 stroke patients over one year.
    • Assessment of urinary incontinence at 1, 4, and 12 weeks post-stroke.
    • Cystometry performed for persistent moderate to severe incontinence; associated factors analyzed.

    Main Results:

    Related Experiment Videos

    • 17% of patients had pre-existing incontinence.
    • At 1, 4, and 12 weeks, 60%, 42%, and 29% of survivors were incontinent, respectively.
    • Detrusor instability found in 85% of previously continent patients with persistent incontinence; moderate/severe motor deficit, impaired mobility, and mental impairment were significant predictors (P<0.001).

    Conclusions:

    • Post-stroke urinary incontinence is prevalent but often improves over time.
    • Detrusor instability is a common cause in previously continent individuals.
    • Motor deficit, mobility, and cognitive impairment significantly impact continence outcomes.