J Korean Acad Rehabil Med.
2010 Apr;34(2):115-119.
Urinary Difficulty in Brain Lesion: Impact on Quality of Life: Multicenter Prospective Epidemiologic Study
- Affiliations
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- 1Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea. h4461@cnuh.co.kr
- 2Department of Rehabilitation Medicine, The Catholic University of Korea College of Medicine, Korea.
- 3Bonifacio Hospital, Korea.
- 4Department of Rehabilitation Medicine, Eulji University College of Medicine, Korea.
- 5Department of Rehabilitation Medicine, Konyang University College of Medicine, Korea.
- 6Department of Physical Medicine and Rehabilitation, Sun General Hospital, Korea.
Abstract
OBJECTIVE
To asses the prevalence of urinary difficulty and the relationship of urinary difficulty and type of brain lesion from multicenter prospective epidemiologic study. METHOD: 394 patients including outpatients and inpatients who visited from multicenter department of rehabilitation medicine from January 2008 to June 2008 were evaluated. Study based on international prostate symptom score (IPSS) and Quality of life (QoL) score were assessed, and the correlation between the two indexes was analyzed.
RESULTS
140 patients (35.5%) complained urinary difficulty as patient's main symptom, while IPSS score was 13.7 showing above moderate symptom at 77.5%. For patients complained urinary difficulty, the average of quality of life score was 3.1. Among stroke, 37% of infarction and 34% of hemorrhage complained urinary difficulty while 40% of traumatic brain injury did. Patients with ACA infarction reported urinary difficulty most frequently. Nocturia (71%), frequency (53.3%), incomplete emptying (30%) were the most frequent symptoms. Sixty-six patients (46%) complaining urinary difficulty were taking medications and anticholinergics were most widely used (75%). Scores of IPSS and QoL according to type and site of brain lesion didn't show meaningful difference while QoL score correlated significantly with IPSS score (p<0.05).
CONCLUSION
Among all the brain lesion patients, 35.5% complained urinary difficulty while IPSS and QoL score according to type and site of brain lesion didn't show meaningful difference. Urinary difficulty affects the life quality of brain lesion patients.
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