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Early catheter removal in post-stroke patients improves rehabilitation and functional outcomes. However, more than half of all stroke patients experience sleep-disordered breathing, which often results in sleep interruptions due to nocturia. The effect of symptoms of sleep-disordered breathing was evaluated in 21 post-stroke subjects whose indwelling urinary catheters were removed in the iate evening. A retrospective chart review reveaied that subjects with symptoms of sieep-disordered breathing (n=4) experienced more episodes of nocturia than those without symptoms of sieep-disordered breathing. [ABSTRACT FROM AUTHOR]

This study was designed to determine if the time of day a urinary catheter was removed impacted length of time to the first void after catheter removal, the amount of the first void, post-void residual urine, and the number of subjects requiring re-catheterization in stroke rehabilitation patients. A randomized two group comparative design was used. Study resuits did not indicate a difference in voiding based on whether the catheter was removed at 7:00 a.m. or 10:00 p.m. in this sample of stroke rehabilitation patients. This study is a beginning step in identifying parameters to consider when developing an individualized plan for indwelling urinary catheter removal in post-stroke patients. [ABSTRACT FROM AUTHOR]

Urinary incontinence (UI) is a common and disabling problem after stroke. Clinical practice guidelines have been developed outlining assessment parameters and identifying treatment options for incontinence in adults. Research on UI after stroke reveals the need for interventions to treat urge and stress incontinence as well as manage or prevent urinary retention and overflow incontinence. Strategies need to be tailored to individuals with varying levels of physical and cognitive ability. This article describes the nature of voiding problems after stroke, explores the impact on recovery and life after stroke, and outlines recommendations for evaluating and treating UI based on the continence literature. [ABSTRACT FROM AUTHOR]