STROKE-BLADDER DYSFUNCTION

SUMMARY

1. Incidence of urinary incontinence is 50%-70% during the first month after stroke and 15% after 6 months.

2. Incontinence may be caused by CNS damage itself (neurogenic bladder), UTI, impaired ability to transfer to toilet, or impaired mobility, confusion, communication disorder/aphasia, and cognitive-perceptual deficits that result in lack of awareness of bladder fullness.

3. Types of voiding disorders: areflexia, spastic bladder (with complete/incomplete emptying), outlet obstruction.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].