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© 1986 Oxford University Press

research-article

URINARY INCONTINENCE AFTER STROKE: A PROSPECTIVE STUDY

MICHAEL J. BORRIE, Research Fellow1,*, A. JOHN CAMPBELL, Professor of Geriatric Medicine, TUDOR H. CARADOC-DAVIES, Clinical Lecturer and GEORGE F. S. SPEARS, Senior Lecturer

Department of Medicine, University of Otago P.O. Box 913, Dunedin, New Zealand
Department of Social and Preventive Medicine, University of Otago P.O. Box 913, Dunedin, New Zealand

*Address correspondence to Professor A. J. Campbell, University of Otago, P.O. Box 913, Dunedin, New Zealand

During one year 151 patients with 154 strokes were studied prospectively to determine the occurrence and outcome of urinary incontinence after a stroke. Seventeen per cent had pre-existing urinary incontinence. At 1, 4 and 12 weeks, 60%, 42% and 29% of the survivors, respectively, were not continent. Cystometry was performed in those with moderate or severe urinary incontinence persisting 4 weeks after the stroke. Detrusor instability was present in 85% of those who had been continent prior to their stroke. Factors associated with urinary incontinence at 4 weeks were moderate or severe motor deficit, impaired mobility and mental impairment (P<0.001). Two-thirds of patients with mild urinary incontinence at 4 weeks regained continence by 12 weeks.

accepted in revised form January 7, 1986.


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