Urinary incontinence after ischemic stroke: Clinical and urodynamic studies

摘要: Aims To investigate the frequency, prognostic effect on functional status and urodynamic patterns of post-stroke urinary incontinence (UI) in a sample in-patients affected by ischemic stroke. Methods One hundred six patients with recent stroke admitted to neurorehabilitation unit were enrolled. Stroke localization was made according Oxfordshire Community Project (OCSP) subtypes assessment severity using National Institute Health Scale (NIHSS). The presence UI associated status, measured Barthel Index Functional Independence Measure (FIM). At admission, studies performed all repeated 63 after 30 days. Results Eighty-four (79%) incontinent. Incontinence age (P < 0.05) disability (P = 0.01), but not sex, side stroke, or time from entry study. Urodynamic studies, 106 at showed normal 15%, detrusor overactivity (DO) 56%, impaired contractility (DOIC) 14%, underactivity (DU) 15%. After 1 month patients, 30%, DO 48%, DOIC 6%, DU 16%. Conclusions Incontinent worse outcome compared continent patients. Post-stroke may be different patterns, each which necessitate treatment strategies. findings vary depending upon timing Neurourol. Urodynam. 33:420–425, 2014. © 2013 Wiley Periodicals, Inc.