The course of post-stroke bladder problems and their relation with functional and mental status and quality of life: A six-month, prospective, multicenter study

Özet

Objectives: The aim of this study was to evaluate the frequency and course of post-stroke lower urinary tract dysfunction (LUTD) fromearly term up to a period of six months and to investigate the relation of LUTD with functional and mental status and quality of life (QoL)in stroke patients.Patients and methods: This prospective study included a total of 70 stroke patients (44 males, 26 females; mean age 62.7±7.0 years;range, 46 to 79 years) from five different centers across Turkey between June 2015 and January 2017. The patients were questioned using theDanish Prostatic Symptom Score (DAN-PSS) to evaluate LUTD and evaluated using the Modified Barthel Index (MBI), Incontinence QoLQuestionnaire (I-QOL), and Mini-Mental State Examination (MMSE) at one, three, and six months.Results: At least one symptom of LUTD was observed in 64 (91.4%), 58 (82.9%), and 56 (80%) of the patients according to the DAN-PSS atone, three, and six months, respectively. A statistically significant improvement was found in the DAN-PSS, MBI, MMSE, I-QOL total scores,avoidance and psychosocial subgroup scores at six months compared to the first month scores (p<0.05). There was a significant negativecorrelation between the DAN-PSS symptom score at one month and the MBI, MMSE, and QoL scores at six months. The DAN-PSS botherand total scores were found to be significantly and negatively correlated only with the subscales of the QoL questionnaire.Conclusion: Based on our study results, LUTD was very common and the prevalence of LUTD findings decreased constantly duringsix-month follow-up, showing an association with a poor cognitive and functional status and QoL in stroke patients with LUTD.