The Relationship Between Urinary Symptom Severity And Functional Status İn Patients With Stroke

Abstract

Background Lower Urinary Tract Dysfunction (LUTD) is a condition that is common in stroke patients and affects their quality of life and psychological state. Aim To determine the factors affecting LUTD severity in stroke patients and to evaluate its relationship with functional status. Method 77 stroke patients were included in our study. Demographic and stroke characteristics of all patients were recorded. Functional Ambulation Scale (FAS), Functional Independence Measure (FIM), the Core Lower Urinary Tract Symptom Score (CLSS) Questionnaire, Beck Depression Scale were administered to the patient. 33 of 77 patients had urodynamic study and these patients constituted the subgroup of the study. Patients were grouped according to type of disorder, type of detrusor and detrusor sphincter dyssynergia (DSD) using urodynamic study findings. Result The mean CLSS of men was significantly higher than women ( P = 0.017). A significant positive correlation was found between age and CLSS ( P = 0.035 r = 0.24) and negative correlation was found between total FIM and all sub-parameter scores and mean of CLSS ( P = 0.001 r = -0.467). Conclusion LUTD is common in stroke patients and the presence of urinary symptoms is associated with poor functional status. No significant relationship was observed between urodynamic data except maximum flow rate and CLSS.

Evaluating methods of detecting and determining the type of urinary incontinence in adults after stroke: A systematic review

“…50 One study recruited from two sites, 50 and the remaining six were singlecenter observational studies: three were cross-sectional design 45,48,50 one was case-control 49 and four cohort studies. 43,44,46,47 Five were conducted in hospital settings, two in urology departments, and one in a survey in participants' homes (Tables 2 and 5). In total, 795 participants from eight studies were included for analysis.…”

“…These impairments were cited by two studies as reasons for exclusion. 47,48 Two studies excluded participants who were unable to communicate. 43,44 Pettersen's study 43 specifically included participants with cognitive impaired awareness of LUTS.…”

“…22 ^Tibaek 33 was checked for additional detail to support Tibaek. 45 Three studies were conducted in Europe, [43][44][45] three in Asia, [46][47][48] and one in the United States. 49 Only one study had the primary objective to validate assessment methods in a stroke population.…”

Development of Early-Stage Stroke Diagnosis System for the Elderly Neurogenic Bladder Prevention

“…Neurogenic bladder refers to a stroke patient among patients diagnosed with abnormal bladder storage function through detrusor hyperreflexia in urodynamic test in which bladder hyperreflexia occurs due to nerve damage. Exist studies [ 1 , 2 ] have reported that stroke is affecting symptoms or disease expression of neurogenic bladder. There are some of these patterns, of which the pattern for facial parsy can be easily identified.…”

Surgical skills and COVID-19 pandemic: Impact and way forward

“…The present issue also highlights and furthers our understanding in two neurological conditions. Ozcan and Ozisler 10 show a higher correlation between lower urinary tract symptoms (LUTS) and recovery phase functional outcome in stroke patients. We already knew that patients with stroke will suffer from LUTS, but this study adds to our observation that functional outcome following stroke during rehabilitation affects LUTS.…”