Post-stroke urinary incontinence

Abstract

Current evidence supports a thorough assessment to categorise the type and severity of post-stroke urinary incontinence. An individually tailored, structured management strategy to promote continence should be employed. This has been associated with better stroke outcomes and should be the aim of all stroke health professionals.

Effectiveness and Safety of Electroacupuncture on Poststroke Urinary Incontinence: Study Protocol of a Pilot Multicentered, Randomized, Parallel, Sham‐Controlled Trial

“…Urinary dysfunction generally affects the quality of life in stroke survivors [6], but the development of UI following a stroke is also a predictor of future functional recovery after acute stroke [7], with a strong association with both increased mortality rates and poor functional outcomes [8]. As a result, clinicians and researchers have been highly interested in the management or treatment of poststroke UI.…”

“…Recommended treatments for poststroke UI include bladder retraining, timed or prompted voiding, intermittent catheterization, the use of anticholinergic medications, and environmental and lifestyle support, none of which have sufficient evidence of efficacy, according to a systematic review [8]. Acupuncture therapies have been also explored for the management of UI after stroke in China.…”

“…Acupuncture therapies have been also explored for the management of UI after stroke in China. For example, stroke survivors who received acupuncture showed lower rates of UI than those who received no treatment or usual care, even though the quality of studies was questionable [8]. Another review implied that acupuncture or acupressure therapies exhibited favorable effects on UI patients with overactive bladder symptoms and suggested that a more qualified randomized controlled trial (RCT) should be implemented [10].…”

Stroke survivors’ and carers’ experiences of a systematic voiding programme to treat urinary incontinence after stroke

“…Urinary incontinence (UI) is a common problem after stroke (Kolominsky‐Rabas, Neundorfer, & Bernhard‐Heuschmann, ; Nakayama, Jørgensen, Pedersen, Raaschou, & Olsen, ; Tuong, Klausner, & Hampton, ; Williams, Srikanth, Bird, & Thrift, ), affecting at least 50% of stroke survivors. Although UI sometimes resolves rapidly and spontaneously, for many people it becomes a persistent problem, with up to a third of stroke survivors experiencing some degree of UI at 6 or 12 months (Mehdi, Birns, & Bhalla, ; Nakayama et al., ; Williams et al., ). UI is a strong predictor of mortality risk (John, Bardinic, Mégevand, & Combescure, ) and poor functional outcome after stroke (Mehdi et al., ; Meijer et al., ; Patel, Coshall, Rudd, & Wolfe, ).…”

Survey and Risk Factors for Lower Urinary Tract Storage Symptoms in Middle‐Aged and Older Stroke Patients in Urban China

“…Itoh et al recently showed that overactive bladder syndrome highly affected the quality of life of stroke patients, which was in turn associated with advanced age and male gender . Studies have been extensively performed on nocturia and incontinence; however, limited data are available on other storage symptoms in stroke patients, especially in Asian populations.…”