Academy of Medical Sciences of I.R. Iran Archives of Iranian Medicine 1029-2977 26 5 2023 05 01 Prevalence and Features of Post-stroke Urinary Incontinence: A Retrospective Cohort Study 234 240 10.34172/aim.2023.36 EN Mohammad Amin Sadeghi https://orcid.org/0000-0003-3335-1758 Sara Hemmati https://orcid.org/0000-0002-6791-2202 Seyede Zahra Emami Razavi Fahimeh Vahabizad Mir Saeed Yekaninejad https://orcid.org/0000-0003-3648-5276 Mohaddeseh Azadvari https://orcid.org/0000-0002-6860-0403 Journal Article 10.34172/aim.2023.36 2022 06 22 2023 03 12 Background: Long-term complications of stroke, persisting for more than 6 months after the initial event, substantially reduce the quality of life (QoL) in a significant percentage of stroke survivors. In this paper, we studied the prevalence of long-term urinary incontinence (UI) in post-stroke patients. In addition, we attempted to identify patient characteristics which were associated with higher UI prevalence, higher UI severity, and less UI-associated QoL. Methods: Medical records in a tertiary referral hospital were used to contact patients who had experienced a stroke between 6 to 32 months before the study date. The patients were given the International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF) questionnaire for determining the presence of UI and its severity. UI-positive patients were then given the I-QOL questionnaire to determine their QoL. Results: The prevalence of UI in our study population (n=189) was 31%. Older age at the time of stroke was associated with higher UI severity (r=0.290) and lower QoL (r=-0.265). Furthermore, the presence of movement limitation was associated with higher UI prevalence (P<0.001, OR=3.89) and severity (P=0.002, d=1.05). Movement limitation also significantly impacted the psychological and social aspects of UI-associated QoL (P=0.035, d=-0.74). Conversely, higher body mass indices (BMIs) were associated with lower UI severity (r=-0.346) and higher QoL (r=0.281). Conclusion: In conclusion, UI continues to be prevalent in stroke survivors long after the cerebrovascular accident (CVA). As a result, these patients require continuous monitoring and UI prevention.