Urinary incontinence as a medical and social problem in post-stroke patients

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Abstract

BACKGROUND: Urinary dysfunction, particularly neurogenic lower urinary tract disorder, is a significant issue among post-stroke patients, requiring focused attention from the medical community.

AIM: To assess the prevalence of urinary dysfunction caused by neurogenic bladder disorders in patients recovering from acute cerebrovascular accidents admitted for the second stage of medical rehabilitation. The study also evaluated the impact of urinary incontinence on functional life outcomes.

MATERIALS AND METHODS: The study analyzed 88 hospitalizations for the second stage of rehabilitation involving post-stroke neurosurgery patients with rehabilitation routing scale scores of 3–5. Patients with severe cognitive impairments preventing the evaluation of urinary function were excluded. The impact of urinary dysfunction on the medico-social sphere was assessed using the following questionnaires: ICIQ-SF, FIM, FAS, and SF-36.

RESULTS: Urinary dysfunction was identified in 46.6% of post-stroke patients with rehabilitation routing scale scores of 3–5. The prevalence of urinary dysfunction increased in patients more than three years post-stroke. Patients with urinary dysfunction were more likely to require assistance with sphincter control. Additionally, urinary dysfunction significantly affected the quality of life and increased fatigue levels among post-stroke patients.

CONCLUSION: Identifying urinary dysfunction and implementing targeted measures to address and compensate for these disorders are essential components of comprehensive rehabilitation for post-stroke patients.

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About the authors

Pavel P. Palatkin

Novokuznetsk Scientific and Practical Center for Medical and Social Expertise and Rehabilitation of the Disabled

Author for correspondence.
Email: ppp1409@mail.ru
ORCID iD: 0000-0002-9465-7091
SPIN-code: 4043-2637
Russian Federation, Novokuznetsk

Oksana N. Vladimirova

Saint Petersburg State Pediatric Medical University; CITO

Email: vladox1204@yandex.ru
ORCID iD: 0000-0001-6692-2882
SPIN-code: 6405-4757

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saint Petersburg; Moscow

Elena M. Vasilchenko

Novokuznetsk Scientific and Practical Center for Medical and Social Expertise and Rehabilitation of the Disabled

Email: root@reabil-nk.ru
ORCID iD: 0000-0001-9025-4060
SPIN-code: 8910-2615
Scopus Author ID: 57190665151
ResearcherId: AAP-8840-2020

MD, Dr. Sci. (Medicine), Associate Professor

 

Russian Federation, Novokuznetsk

Olga I. Khokhlova

Novokuznetsk Scientific and Practical Center for Medical and Social Expertise and Rehabilitation of the Disabled

Email: root@reabil-nk.ru
ORCID iD: 0000-0003-3069-5686
SPIN-code: 2386-7820

MD, Dr. Sci. (Medicine)

Russian Federation, Novokuznetsk

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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