Correlation between ischemic stroke topography and female urinary incontinence.

Autor: Tonani LL; Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil., Bortolini MAT; Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: maria.augusta@clinicabortolini.com.br., Santos RGM; Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil., Fukujima MM; Division of Neurologic Emergency, Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil., Castro RA; Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2023 Dec; Vol. 291, pp. 206-211. Date of Electronic Publication: 2023 Oct 26.
DOI: 10.1016/j.ejogrb.2023.10.026
Abstrakt: Aim: To investigate the association between ischemic stroke topography and the onset of urinary incontinence (UI); to evaluate predictors of post-stroke UI in women.
Method: We prospectively followed up a cohort of women with ischemic stroke confirmed by clinical and computed tomography (CT) or magnetic resonance imaging (MRI) scans findings. Participants were subjected to interview, clinical evaluation, and urodynamic study if needed at 6 months post-stroke and divided in continent and incontinent groups. Non-parametric tests compared the baseline characteristics among the groups and determined association between post-stroke UI and the brain sites of injury. Logistic regression analysis determined predictors of post-stroke UI. Significance level at 5 % was set.
Results: 162 S-women were included: 128 (79 %) continent and 34 (21 %) incontinent. Frontal lobe lesions were higher in the incontinent group (82.9 % versus 51.2 %, p = 0.001); lesions in the parietal lobe and the left cerebral hemisphere were higher in the continent group (40.9 % versus 20 %, p = 0.023; and 61.4 % versus 40 %, p = 0.024, respectively). Frontal lobe injury [RR 3.68 (CI 1.2-11.2)], body mass index (BMI) [RR1.16 (CI 1.062-1.266)] and number of vaginal deliveries [RR 1.358 (CI 1.163-1.585)] are risk factors for post-stroke UI. Left parietal lobe injury is less likely to occur in continent women after 6 months [RR 0.168 (CI 0.029-0.981; p = 0.048)].
Conclusion: There is a correlation between the topography of the ischemic stroke and the onset of UI. Frontal lobe lesion, BMI and number of vaginal deliveries are predictors of post-stroke UI.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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