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The Journal of Neurological and Neurosurgical Nursing

Patient with Neurogenic Bladder Dysfunction after Stroke in the Neurological Rehabilitation Ward
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Patient with Neurogenic Bladder Dysfunction after Stroke in the Neurological Rehabilitation Ward

Authors

  • Małgorzata Bosacka Hipolit Cegielski State University of Applied Sciences in Gniezno; Provincial Hospital for Mentally Ill ‘Dziekanka’, Gniezno

DOI:

https://doi.org/10.15225/PNN.2025.14.3.5

Keywords

neurogenic bladder, nursing care, rehabilitation, stroke

Abstract

Strokes cause disability or severe disability. A common complication being a direct result of stroke is neurogenic bladder dysfunction. Urinary incontinence and chronic urinary tract infections adversely affect the patient’s health and delay the process of neurological rehabilitation. The aim of this paper is to discuss urological problems occurring after stroke and the appropriate nursing and rehabilitation procedures for patients with neurogenic bladder dysfunction. A literature review was conducted for the following key words: stroke, neurogenic bladder, nursing care. Scopous, Ebsco PubMed and Google Scholar databases were searched. 25 articles were finally included in the detailed analysis. It has been shown that functional dysfunction of the urinary bladder and urethra is a serious complaint of a patient after a stroke. The main aim of proper nursing and rehabilitation treatment is to teach a patient complete emptying of the urinary bladder at low-pressure, reducing the discomfort resulting from urinary incontinence and preventing urinary tract infections. (JNNN 2025;14(3):131–135)

References

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[2] Markus H.S., Brainin M. COVID-19 and stroke-A global World Stroke Organization perspective. Int J Stroke. 2020;15(4):361–364.

[3] Lipowski M., Kucharska-Lipowska M., Brola W. Powikłania urologiczne po udarze mózgu. Aktualn Neurol. 2019;19(3):125–131.

[4] Leslie S.W., Tadi P., Tayyeb M. Neurogenic Bladder and Neurogenic Lower Urinary Tract Dysfunction (updated July 4, 2023). Retrieved November 5, 2024, from https://www.ncbi.nlm.nih.gov/books/NBK560617/.

[5] Dorsher P.T., McIntosh P.M. Neurogenic bladder. Adv Urol. 2012;2012:816274.

[6] Panicker J.N., Fowler C.J., Kessler T.M. Lower urinary tract dysfunction in the neurological patient: clinical assessment and management. Lancet Neurol. 2015;14(7):720–732.

[7] Hojan K., Tymińska A., Kurnatowski J., Piotrowska B. Fizjoterapia w terapii pęcherza neurogennego. Prakt Fizjoter Rehabil. 2015;65:6–16.

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[9] Zaborski J. Pęcherz neurogenny. Neurol Prakt. 2018;2:9–14.

[10] Duanngai K., Sirasaporn P., Ngaosinchai S.S. The reliability and validity of using the urine dipstick test by patient self-assessment for urinary tract infection screening in spinal cord injury patients. J Family Med Prim Care. 2017;6(3):578–582.

[11] Granier P., Audry P., Coste B., Fleys E., Trives M., Szczot A. Place d’un échographe vésical portable dans la prise en charge des troubles de la vidange vésicale après accident vasculaire cerebral. Ann Readapt Med Phys. 2002;45(4):166–172.

[12] National Clinical Guideline Centre (UK). Urinary Incontinence in Neurological Disease: Management of Lower Urinary Tract Dysfunction in Neurological Disease. Royal College of Physicians (UK), London 2012.

[13] Panicker J.N. Neurogenic Bladder: Epidemiology, Diagnosis, and Management. Semin Neurol. 2020;40(5):569–579.

[14] Ginsberg D.A., Boone T.B., Cameron A.P. et al. The AUA/SUFU Guideline on Adult Neurogenic Lower Urinary Tract Dysfunction: Diagnosis and Evaluation. J Urol. 2021;206(5):1097–1105.

[15] Joshi A.D., Shukla A., Chawathe V., Gaur A.K. Clean intermittent catheterization in long-term management of neurogenic bladder in spinal cord injury: Patient perspective and experiences. Int J Urol. 2022;29(4):317–323.

[16] Jeong S.J., Oh S.J. Recent Updates in Urinary Catheter Products for the Neurogenic Bladder Patients with Spinal Cord Injury. Korean J Neurotrauma. 2019;15(2):77–87.

[17] Jin X., Tang H., Yuan H., Chen G. Case report: Sacral neuromodulation for neurogenic lower urinary tract dysfunction in patient with neuronal intranuclear inclusion disease. Heliyon. 2024;10(12):e32374.

[18] Fiodorenko-Dumas Ż., Paprocka-Borowicz M. Postępowanie fizjoterapeutyczne w nietrzymaniu moczu. Med Og Nauk Zdr. 2014;20(1):12–16.

[19] Szwedowski M., Szwedowska E. Przydatność badań urodynamicznych w diagnostyce i leczeniu nietrzymania moczu u kobiet. Przegląd Urologiczny. 2014;4(86):28–33.

[20] Foley N., Wiener J., Cotoi A. et al. Chapter 17: Medical Complications Post Stroke. In Evidence-Based Review of Stroke Rehabilitation. Heart & Stroke Foundation, 2018.

[21] Wang P., Shi J., Zhao L. et al. The efficacy and safety of electroacupuncture against urinary incontinence after stroke: A protocol for systematic review and meta analysis. Medicine (Baltimore). 2020;99(38):e22275.

[22] Socha M., Kozioł-Montewka M., Pańczuk A. Zakażenie dróg moczowych u chorych po udarze mózgu — współzależność z procesem rehabilitacji, zapobieganie. Med Og Nauk Zdr. 2017;23(4):221–224.

[23] Poisson S.N., Johnston S.C., Josephson S.A. Urinary tract infections complicating stroke: mechanisms, consequences, and possible solutions. Stroke. 2010;41(4):e180–184.

[24] Gözlersüzer Ö., Yalvaç B., Çakıroğlu B. Investigation of the effectiveness of magnetic field therapy in women with urinary incontinence: Literature review. Urologia. 2023;90(1):51–57.

[25] Hsieh P.F., Chiu H.C., Chen K.C., Chang C.H., Chou E.C. Botulinum toxin A for the Treatment of Overactive Bladder. Toxins (Basel). 2016;8(3):59.

The Journal of Neurological and Neurosurgical Nursing

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Published

2025-09-30

How to Cite

1.
BOSACKA, Małgorzata. Patient with Neurogenic Bladder Dysfunction after Stroke in the Neurological Rehabilitation Ward. The Journal of Neurological and Neurosurgical Nursing. Online. 30 September 2025. Vol. 14, no. 3, pp. 131-135. [Accessed 31 December 2025]. DOI 10.15225/PNN.2025.14.3.5.
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Vol. 14 No. 3 (2025)

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Review

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Copyright (c) 2025 Małgorzata Bosacka

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This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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