This study investigated significant relationship between urinary retention and poor functional status in post-stroke patients.ĭivani AA, Vazquez G, Barrett AM, Asadollahi M, Luft AR. Relation of urinary retention and functional recovery in stroke patients during rehabilitation program. 12-month follow-up of a population-based cohort in southeast England. Predicting the disability of first-time stroke sufferers at 1 year. Taub NA, Wolfe CD, Richardson E, Burney PG. This prospective observation study observed that urinary incontinence and urinary catheters within the first week after the stroke were associated with 1 -year mortality. Urinary incontinence and indwelling urinary catheters as predictors of death after new-onset stroke: a report of the south London stroke register. Prevalence and risk factors of incontinence after stroke. Nakayama H, Jørgensen HS, Pedersen PM, et al. This meta-analysis study showed that urinary incontinence indicates high risk of death after a new-onset stroke.

Urinary incontinence as a predictor of death after new-onset stroke: a meta-analysis. Voiding and sexual dysfunction after cerebrovascular accidents. Urinary incontinence after stroke: a prospective study. 2001 32:122–7.īorrie MJ, Campbell AJ, Caradoc-Davies TH, et al. Natural history and effects on 2-years outcomes of urinary incontinence after stroke. Incidence and outcome of poststroke urinary retention: a prospective study. Impact of urinary incontinence after stroke: results from a prospective population-based stroke register. Kolominsky-Rabas PL, Hilz MJ, Neundoerfer B, Heuschmann PU. Urinary incontinence in stroke patients after admission to a postacute inpatient rehabilitation program. Van Kuijk AA, van der Linde H, van Limbeek J. Incontinence after stroke in a rehabilitation setting: outcome associations and predictive factors. Ween JE, Alexander MP, D'Esposito M, Roberts M. Neural control of the lower urinary tract.

Papers of particular interest, published recently, have been highlighted as: ĭe Groat WC, Griffiths D, Yoshimura N. In the future, additional evidence-based research should be performed to evaluate the effectiveness of various therapeutic approaches. At the moment, a structured clinical assessment and the use of a multimodal treatment approach that includes a systematic voiding programme with the participation of all team members is recommended. LUTD after a stroke remains under-recognised, poorly addressed and there is still a lack of clinical practice guidelines available in the literature. A variety of behavioural therapeutic interventions is described in the literature, including bladder training and pelvic floor muscle training, but the evidence of the effectiveness is still sparse. There are multiple aetiologies for LUTD and the treatment usually includes continence aids, behavioural, pharmacological and surgical measures. LUTD is correlated with the size and site of the brain lesion, and the presence of cognitive, motor, sensory, vision impairment and aphasia. In the urodynamic findings, detrusor overactivity is predominant and detrusor underactivity is somewhat less prevalent. The predominant symptoms are urinary frequency, urgency and urge incontinence. LUTD frequently occurs after a stroke and is associated with poor overall functional outcome, increased institutionalisation and mortality rates. Topics include epidemiology of LUTD, LUTD as a prognostic indicator for stroke recovery, urinary incontinence and retention, correlations between brain lesion localisation and LUTD, causes of LUTD, medical complications due to LUTD, diagnostics and contemporary management of LUTD in stroke patients. This comprehensive up-to-date review will synthesise relevant available literature on the topic of post-stroke lower urinary tract dysfunction (LUTD).

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