The Relationship Between Urinary Symptom Severity And Functional Status İn Patients With Stroke

2022 ◽  
pp. 003693302110722
Author(s):  
Fatma Özcan ◽  
Zuhal Özişler

Background Lower Urinary Tract Dysfunction (LUTD) is a condition that is common in stroke patients and affects their quality of life and psychological state. Aim To determine the factors affecting LUTD severity in stroke patients and to evaluate its relationship with functional status. Method 77 stroke patients were included in our study. Demographic and stroke characteristics of all patients were recorded. Functional Ambulation Scale (FAS), Functional Independence Measure (FIM), the Core Lower Urinary Tract Symptom Score (CLSS) Questionnaire, Beck Depression Scale were administered to the patient. 33 of 77 patients had urodynamic study and these patients constituted the subgroup of the study. Patients were grouped according to type of disorder, type of detrusor and detrusor sphincter dyssynergia (DSD) using urodynamic study findings. Result The mean CLSS of men was significantly higher than women ( P = 0.017). A significant positive correlation was found between age and CLSS ( P = 0.035 r = 0.24) and negative correlation was found between total FIM and all sub-parameter scores and mean of CLSS ( P = 0.001 r = -0.467). Conclusion LUTD is common in stroke patients and the presence of urinary symptoms is associated with poor functional status. No significant relationship was observed between urodynamic data except maximum flow rate and CLSS.

Author(s):  
Neha Khatik ◽  
Ratna Biswas

Background: Utero-vaginal prolapse is a common gynecological disorder, result from weakness of musculoskeletal structure that support the pelvic organ. Although it is not an emergency situation but severely affect the quality of life. Women with utero-vaginal prolapse may present with lower urinary tract dysfunction but association of urological changes with UV prolapse and beneficial effect of surgery on these changes is still debatable. Urodynamic study such as cystometry and uroflowmetry help in better understanding of lower urinary tract dysfunction and assist to plan appropriate surgical management thereby reduce chances of postoperative voiding dysfunction.Methods: A total of 30 women of pelvic organ prolapse with lower urinary tract dysfunction, over a period of one year, were subjected to urodynamic studies after thorough evaluation by history, examination and standardized questionnaire both pre and post operatively and data analysed.Results: In present study, urodynamic study identified urinary dysfunction in 93.34% of women recruited in study. Obstruction was present in 36.67% of women. Detrusor overactivity along with obstruction was seen in 20.00% of women. Urodynamic stress incontinence and urodynamic stress incontinence along with obstruction was identified in 13.33% of women each and detrusor overactivity was observed in 10.00% of women.Conclusions: In present study it was found that, if surgical management of pelvic organ prolapse is planned according to urodynamic study, it will improve urologic profile of patients. To conclude that urodynamic study should be an integral part of diagnostic work up of uterovaginal prolapse patients require larger sample size and at least 6 months follow-up duration after surgery.


Author(s):  
Anna Barnaś ◽  
Ewa Chlebuś ◽  
Kamila Mortka ◽  
Przemysław Lisiński

Introduction The world-widely acknowledged method of diagnosing dysfunctions in the lower urinary tract is urodynamic study (UDS), however many of patients with adult neurogenic lower urinary tract dysfunction (ANLUTD) have not undergone this test or have been examined a couple of years after the spinal cord injury (SCI). Recent studies provide evidence of significance UDS in precise diagnosis and monitoring of ANLUTD. Aim The aim of this article is to analyze the value of UDS in the management of neurogenic bladder in patients after. Material and methods Research was performed on the databases Pubmed and Web of Science. Results Out of 2012 articles found by performing the above research procedure, 9 matched the inclusions criteria and were analyzed. Discussion One study showed significant differences in those groups regarding maximum cystometric capacity and volume at first involuntary contraction. Other authors proved significant differences in bladder function among groups with different C and L level of injuries. In follow up patients with maximum cystometric (MCC) capacity < 200 ml experienced significantly more often (p = 0.019) UUT deterioration than those with MCC ≥ 200 ml. In the study with annual UDS, 47.9% of the patients needed at least one type of intervention (in 82.6% of cases – urological interventions) basing on their UDS. None of those patients complained of new urological symptoms since their previous. Conclusions UDS should be performed as a standard examination in patients after SCI. Regular follow up UDS should be performed for prevention UUT deterioration. Keywords: spinal cord injury, urodynamic study, adult neurogenic lower urinary tract dysfunction.


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