Lower Urinary Tract Symptoms Clinical Trial
Official title:
The Course of Post-stroke Bladder Problems and Their Relation With Functional, Mental Status and Quality of Life: A Six-month Prospective, Multicenter Study
The course of post-stroke bladder problems and their relation with functional, mental status and quality of life: A six-month prospective, multicenter study
Lower urinary tract symptoms is a broad term of subjective urinary symptoms such as
nocturia, urgency, urinary incontinence, and frequency of voiding, defined by the
International Continence Society. Several disorders and conditions affecting the nervous
system that controls the lower urinary system can result in neurogenic lower urinary tract
dysfunction (LUTD). Stroke is one of these conditions. The literature review reveals that
there is insufficient data regarding the course of LUTD symptoms other than urinary
incontinence in stroke patients, and their relation with functional and mental status. The
aim of this prospective, multi-center study was to determine the frequency and course of
post-stroke LUTD from early term up to a period of six months, and to investigate the
relation of LUTD with functional and mental status and quality of life in stroke patients.
This study was designed as a prospective study and included 70 stroke patients enrolled by
the Neurogenic Bladder Study Group from five different centers across Turkey.
The demographic (age, sex, education, marital status and occupation) and clinical
characteristics (side of the stroke, cause of the stroke, stroke localization and
anticholinergic medication use) of the patients were obtained from the patient files and
through face-to-face interviews. In addition, patients were questioned on the post-stroke
1st, 3rd, and 6th months in terms of bladder drainage methods (normal spontaneous urination,
use of adjunct maneuvers such as crede, valsalva and tapping, presence of overflow, clean
intermittent catheterization use, permanent catheter use) after stroke.
The patients were questioned using the Danish Prostatic Symptom Score (DAN-PSS), and
evaluated using the Brunnstrom motor staging (hand, upper and lower extremities), modified
Barthel index, incontinence quality of life questionnaire (I-QOL), and the Mini-Mental Test
(MMT) on the 1st, 3rd and 6th months.
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