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There are three major mechanisms of responsible for post-stroke urinary incontinence:1)disruption of the neuromicturition pathways,resulting in bladder hyperreflexia and urgency incontinence;2)incontinence due to stroke-related cognitive and language deficits,with normal bladder function;3)concurrent neuropathy or medication use,resulting in bladder hyporeflexia and overflow incontinence.Urodynamic studies are of benefit in establishing the cause of incontinence.Scheduled voiding is useful first-line treatment in many cases of incontinence. |
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