Systematic Review of the Epidemiology of Urinary Incontinence and Detrusor Overactivity among Patients with Neurogenic Overactive Bladder

Abstract

for statistical analysis identified 39 and 52 articles with prevalence of UI and DO, respectively. Random-effect meta-analysis found the prevalence of UI was 50.9% in patients with MS, 52.3% with SCI, 33.1% with PD and 23.6% with stroke. Spina bifida was excluded due to insufficient data. The prevalence of DO may be biased and artificially elevated because it can only be measured with urodynamic investigations. Key Messages: A substantial proportion of patients with neurological conditions develop UI that may be attributable to nOAB.

Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial

“…The poststroke symptoms are nocturia (Tibaek et al, 2008;Williams et al, 2012), urgency, frequent daytime voiding, urge incontinence, incomplete bladder emptying, and urinary tract infection (Ruffion et al, 2013).…”

Autonomic dysreflexia and repeatability of cardiovascular changes during same session repeat urodynamic investigation in women with spinal cord injury

“…Neurogenic lower urinary tract dysfunction (NLUTD) is a common consequence after SCI [14]. Urodynamic investigation (UDI) is the gold standard to evaluate lower urinary tract function and same session repeat measurement is crucial for clinical decision making [15,16].…”

Improving Outcomes in Patients With Refractory Idiopathic and Neurogenic Detrusor Overactivity: Management Strategies

“…33 An estimated 23.6% of patients with stroke, one third of patients with Parkinson disease, half of patients with MS, and 52.3% of patients with SCI have UI. 34 The incidence of bladder dysfunction, including but not solely caused by NDO, is also high, affecting 68% of those with SCI, 37% to 72% of patients with MS, and 35% to 70% of patients with Parkinson disease. 35 The interplay between the urodynamic condition and symptom awareness/presentation can be complex and hard to predict.…”