F-2-06-01
UROLOGICAL PROBLEMS IN STROKE REHIBILITATION PATIENTS.
RELATIONSHIP TO CYSTOMETRICAL FINDINGS
A. Ishida, E. Motonaga, Y. Tonaki (Tokai University, Kanagawa, Japan)
Various problems are present in stroke rehabilitation patients. Urological dysfunction is one of the most troublesome complications. It can interfere with the rehabilitation process and discharge planning. Between 1986 and 1995, 400 patients were admitted to our hospital for stroke rehabilitation. 180 out of 400 patients had urinary symptoms at the time of admission. We have evaluated these patients by clinical, CT and cystometrical findings. Cystometrical finding gives us useful informations related with the choice of treatment. Cystometry was performed for 105 patients. We focused on supratentorial lesions and excluded the patients who had complications in lower urinary tract. 55 patients were subjects. Their mean age was 64.8 years. There were 31 males and 24 females. Among the symptoms, incontinence was the highest frequency. 27 patients revealed overactive bladder with normal urethra cystometrically, followed by overactive bladder with incompetent urethra. In the relation between the location of lesion and cystometrical findings, basalganglionic lesion and overactive bladder was the most frequent combination. In the treatment of urinary symptoms in stroke rehabilitation patients, we should direct to the control of over-active bladder.
F-2-06-02
NEW METHOD IN MANAGEMENT OF URINATION IN STROKE PATIENTS; UTILIZATION OF PORTABLE ULTRASONOGRAPHY
Masayuki Ishii, Ken Akashi (Kawasaki Medical School, Kurashiki, Japan)
Purpose: The aim of this study was 2 fold: (1) to measure the residual urine in stroke patients using portable ultrasonography; (2) to evaluate the function of the bladder in stroke patients.
Methods: The study was conducted at the Rehabilitation Ward, Kawasaki Medical School Hospital. We measured the volume of residual urine of stroke patients using portable ultrasonography (bladder scan BVI 5000 ). The bladder dysfunctions were established by those measurements.
Results: The volume of residual urine in stroke patients was significantly larger than the healthy adults. It was easy for manipulation of this instrument, can be completed within a few minutes, and non-invasive.
Conclusion: In management of urination in stroke patients, utilization of portable ultrasonography was simple and useful in evaluating the function of the bladder.
