Urinary incontinence affects 40–60% of people following stroke and can cause distress for patients and their families, affecting quality of life, skin integrity and carer burden. There is evidence that professional input through structured assessment and management of care, together with the involvement of specialist continence nursing services, may reduce urinary incontinence and related symptoms after stroke. This paper discusses the normal physiology of micturition, the effect of stroke on bladder control, and assessment and management of urinary incontinence following stroke.
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