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Neurol Sci (2013) 34:729734 DOI 10.1007/s10072-012-1123-9
ORIGINAL ARTICLE
An evaluation of bladder emptying methods and the effect of demographic and clinical factors on spontaneous voiding frequency in stroke patients
Murat Ersoz Belgin Erhan Yesim Akkoc Murat Zinnuroglu Necmettin Yildiz
Haydar Gok Senay Ozdolap Hakan Tunc Kurtulus Kaya Ebru Alemdaroglu
Sedat Susuzer Berrin Gunduz Ayse Nur Bardak Sedazcan Hilal Yesil Kursat Uygunol
Sibel Konukcu Nese Gunes Ferhat Ege Turkish Neurogenic Bladder Research Group
Received: 21 February 2012 / Accepted: 21 May 2012 / Published online: 9 June 2012 Springer-Verlag 2012
Abstract In this study, the bladder emptying methods at different stages of the post-stroke period along with the effects of demographic and clinical parameters on spontaneous voiding frequency were investigated. The frequencies of bladder emptying methods at admission to the rehabilitation clinic, after neurourological and urodynamic assessment and at home after discharge were spontaneous voiding (SV) 51/99 (51.5 %), 62/99 (62.6 %), 73/99
(73.7 %), emptying without a urinary catheter ? an external collector system (EWUC ? ECS) 24/99 (24.2 %), 18/99 (18.2 %), 17/99 (17.2 %), intermittent catheterization (IC) 1/99 (1.0 %), 15/99 (15.2 %), 6/99 (6.1 %), indwelling urethral catheter (IUC) 23/99 (23.2 %), 4/99(4.0 %) and 3/99 (3.0 %), respectively. Lower spontaneous voiding frequencies were observed in single-divorced and geriatric individuals (p \ 0.05). The number of patients who modied the method at home was 2/62 for SV, 5/18 for EWUC ? ECS, 9/15 for IC, and 2/4 for IUC. The majority of stroke patients were able to void spontaneously and the spontaneous voiding frequency increased at follow-up. The spontaneous voiding frequency was low in geriatric and single-divorced subgroups. The method in which the most changes occurred was IC.
Keywords Stroke Neurogenic bladder Bladder
emptying method Spontaneous voiding
Introduction
Lower urinary tract dysfunction (LUTD) is common in stroke patients [17] and the related urinary symptoms cause disability and have a negative impact on their lives [812]. An increase in the frequency of urinary tract infections has been reported in stroke patients with LUTD especially in those with indwelling urethral catheters [1, 4, 13]. LUTD combines with urinary tract infections to interfere with the rehabilitation process and delays social integration in this patient group [8, 1416]. Although LUTD is common in stroke patients, there...