Outcomes of urinary incontinence in stroke patients of Al Muthanna province

Posted on by Muthanna Medical Journal

Research article

Volume 11, Issue 2, 2024.  Page 159-167 10.52113/1/1/2024-2-159

Authors
Asaad Adil Mnaather *1, Sarah Noaman Shaker 1, Maithem abd shawwat 2, Ali Muhammad Kadhim 3, Ali hussein Abdul Al wahid 3, Ali Qasim Salman  1  

*Correspondence author: asaadneuro@mu.edu.iq

*1 Al-Muthanna University, College of Medicine, Department of Medicine.
 2 Middle Euphrates Neuroscience Center/Najaf 
3 Al muthanna Health director
 Received 30 August 2024; revised 12 October 2024; accepted 30 October 2024, available online 11 November 2024.
Copyright © 2024 Mnaather, et al. This is article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Abstract

Strokes, also known as cerebrovascular accidents, are a leading cause of morbidity and death in the US. One common morbidity that post-stroke patients face, urinary incontinence, is linked to long-term disability and the impact of institutionalization on these individuals. Half of people hospitalized after a stroke have urinary incontinence (UI), which is frequently mismanaged. The aim of this study is to determine the outcomes of urinary incontinence post-stroke for one to two weeks. A descriptive study (follow-up) is used to conduct these study assess for urinary incontinence, then monitoring for the second days of admission, after one week of contact with each patient either by telephone or visiting patients at the house, these processes recurrent after two weeks for some patients. The study shows that the mean age was 63.12, also without intervention most study samples need one to two weeks to return bladder function and treat urinary incontinence with approximately (60%) after two weeks post-stroke, and all participants had one of the most significant risk factors such as diabetes, hypertension, and smoking. In conclusion, urinary incontinence is common after a stroke for all age groups and does not require significant drug or surgical interventions. It relies on common treatment programs in hospitals, including physical therapy, for a period ranging from one to two weeks for most cases.

Keywords: Post-stroke, Urinary incontinence, Ischemic stroke, Hemorrhagic stroke, Risk factors

References

    1. Tuong NE, Klausner AP, Hampton LJ. A review of post-stroke urinary incontinence. Can J Urol 2016;23:8265–70.
    2. Cai W, Wang J, Wang L, Wang J, Guo L. Prevalence and risk factors of urinary incontinence for post-stroke inpatients in Southern China. Neurourol Urodyn 2015;34:231–5.
    3. Arkan G, Beser A, Ozturk V. Experiences Related to Urinary Incontinence of Stroke Patients: A Qualitative Descriptive Study. Journal of Neuroscience Nursing 2018;50:42–7.
    4. Fekadu G, Chelkeba L, Kebede A. Burden, clinical outcomes and predictors of time to in hospital mortality among adult patients admitted to stroke unit of Jimma university medical center: a prospective cohort study. BMC Neurol 2019;19:213.
    5. Akkoç Y, Bardak AN, Ersöz M, Yılmaz B, Yıldız N, Erhan B, et al. Post-stroke lower urinary system dysfunction and its relation with functional and mental status: a multicenter cross-sectional study. Top Stroke Rehabil 2019;26:136–41.
    6. White JH, Patterson K, Jordan L, Magin P, Attia J, Sturm JW. The experience of urinary incontinence in stroke survivors: A follow-up qualitative study. Canadian Journal of Occupational Therapy 2014;81:124–34.
    7. Gordon C, Davidson CE, Roffe C, Clegg A, Booth J, Lightbody CE, et al. Evaluating methods of detecting and determining the type of urinary incontinence in adults after stroke: A systematic review. Neurourol Urodyn 2024;43:364–81..
    8. Cowey E, Smith LN, Booth J, Weir CJ. Urinary catheterization in acute stroke: clinical realities. A mixed methods study. Clin Rehabil 2012;26:470–9.
    9. Guo G, Kang Y. Effectiveness of neuromuscular electrical stimulation therapy in patients with urinary incontinence after stroke. Medicine 2018;97:e13702.
    10. John G, Primmaz S, Crichton S, Wolfe C. Urinary Incontinence and Indwelling Urinary Catheters as Predictors of Death after New-Onset Stroke: A Report of the South London Stroke Register. Journal of Stroke and Cerebrovascular Diseases 2018;27:118–24.
    11. Kohler M, Ott S, Mullis J, Mayer H, Kesselring J, Saxer S. Promoting urinary continence in people suffering a stroke: Effectiveness of a complex intervention—An intervention study. Nursing open. 2022;9(2):1262-75.
    12. Kwon B, Lee EJ, Park S, Lee JS, Lee MH, Jeong D, Lee D, Kwon HS, Chang DI, Park JH, Cha JK. Long-term changes in post-stroke depression, emotional incontinence, and anger. Journal of Stroke. 2021;23 (2):263.
    13. Gross JC. Urinary incontinence and stroke outcomes. Archives of physical medicine and rehabilitation. 2000;81(1):22-7.
    14. Gupta A, Taly AB, Srivastava A, Thyloth M. Urodynamics post stroke in patients with urinary incontinence: Is there correlation between bladder type and site of lesion?. Annals of Indian Academy of Neurology. 2009;12 (2):104-7.
    15. Panfili Z, Metcalf M, Griebling TL. Contemporary evaluation and treatment of poststroke lower urinary tract dysfunction. Urologic Clinics. 2017;44(3):403-14.
    16. Heltty H, Sitorus R, Nusdwinuringtyas N, Martha E. Development of management model post-stroke urinary incontinence. PElvic Floor Dysfunction: Symptoms, Causes, and Treatment. 2022;61:5-25.
    17. American Health Association. Coping with Stroke Incontinence: Practical Tips & Strategies. 2022.
    18. John M. Morrisona, Claire B. Gibson, Zhan Wang, Daniel H. Klionsky. Potential effects of gender disparity in downregulation of AKT after post-cerebral ischemia and reperfusion. American Journal of BioMedicine. 2018;6 (3): 224-241
    19. Lewis AM, Travis ML, Gordon AL, Weaver HB, Reding mj. Sensory-motor biofeedback for treatment of urinary urge-incontinence following stroke. InClinical Research 1990 Jan 1 (Vol. 38, No. 1, pp. A10-A10).
    20. Mehdi Z, Birns J, Bhalla A. Post‐stroke urinary incontinence. International Journal of Clinical Practice. 2013;67(11):1128-37.
    21. Wikander B, Ekelund P, Milsom I. An evaluation of multidisciplinary intervention governed by functional independence measure (FIMSM) in incontinent stroke patients. Scandinavian Journal of Rehabilitation Medicine. 1998;30(1):15-21.
    22. Zhou G, Wu D. 40 examples of using eye acupuncture and electriferous scalp acupuncture to treat urinary incontinence after cerebrovascular accident. Journal of Clinical Acupuncture. 1999;15(9):33-4.
    23. Thomas LH, Watkins CL, Sutton CJ, Forshaw D, Leathley MJ, French B, Burton CR, Cheater F, Roe B, Britt D, Booth J. Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial. Trials. 2014;15:1-5.

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Volume 11, Issue 2, 2024

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Mnaather A, Shaker S, Shawwat M, Kadhim A, Al wahid A, Salman A. Outcomes of urinary incontinence in stroke patients of Al Muthanna province. Muthanna Medical Journal. 2024; 11(2):159-167.