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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(4):551-558.
Patterns of Voiding Dysfunction of Stroke Patients during Rehabilitation.
Kim, Moo Kyum , Lee, Hoan Nyoung , Kim, Ki Rim , Lee, Kyoung Min , Lee, In Kil , Choi, Eun Ho
1Department of Rehabilitation Medicine, Dong-Eui Hospital, Busan, Korea.
2Department of Urology, Dong-Eui Hospital, Busan, Korea.
재활치료 기간 동안 뇌졸중 환자의 배뇨장애 양상
김무겸, 이환녕, 김기림, 이경민, 이인길1, 최은호1
동의병원 재활의학과, 1비뇨기과
Abstract

Objective
The purpose of this study is to evaluate the patterns of voiding dysfunction of stroke patients during rehabilitation.


Method
We evaluated 53 patients with complaints of voiding dysfunction following the strokes. After the comprehensive history and physical examination, all patients underwent cystometric study and males underwent the transrectal ultrasound.


Results
The incidences of detrusor hyperreflexia, detrusor areflexia, and normal finding on the cystometry were 50.9%, 32.1%, and 17.0%, respectively (p<0.05). There was a significantly high incidence of detrusor hyperreflexia in the groups of subcortical lesion, large lesion, and the over 3 months after stroke (p<0.05). However, there was no statistical difference on cystometric findings according to the other characteristics of the stroke such as the age, sex, type of stroke, cognition, aphasia, and diabetes mellitus. The incidences of irritative, obstructive, and mixed symptoms according to the presenting voiding complaints were 49.1%, 32.1%, and 18.9%, respectively (p<0.05). There was no significant statistical difference on the cystometric findings according to the 3 voiding symptom groups as well as none of significant statistical difference on prostate enlargement in males in according to the 3 voiding symptom groups.


Conclusion
Only with the pattern of voiding, we could not predict the cystometric finding or the presence of bladder outlet obstruction. Thus, we recommend the further studies including cystometry and evaluation of the bladder outlet obstruction for the treatment of voiding dysfunction of stroke patients during rehabilitation.

Key Words: Voiding dysfunction, Cystometric finding, Bladder outlet obstruction, Detrusor hyperreflexia, Stroke


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