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Neuro-Urology pp 119-133 | Cite as

Clinical Entities and Their Neuro-urological Consequences: Stroke

  • Mikolaj Przydacz
  • Jacques Corcos
Chapter

Abstract

Undisturbed functioning of the central nervous system, in particular the cerebral cortex and the pons, is necessary for urinary continence, voiding reflex, bladder control, and sexual functions. Cerebrovascular accidents (or strokes) may lead to disintegration of this system and result in dysfunctions of the urinary tract. The effects of stroke depend on several factors, including the type, severity, location, number of episodes, and stroke phase. Whereas in the acute phase of cerebrovascular accidents patients often present with urinary retention, the chronic phase is usually characterized by urinary incontinence. Poststroke incontinence is a strong predictor of higher rates of mortality, greater institutionalization, and increased disability. Voiding dysfunctions following stroke substantially affect patients’ quality of life. Detriments in emotional well-being and social relationships are also not rare.

Keywords

Neurogenic bladder Stroke Cerebrovascular accidence 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Mcgill UniversityMontrealCanada

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