Epidemiological, Clinical and Etiological Aspects of Urinary Sphincter Disorders of Neurological Origin at Conakry University Hospital

Abstract

Introduction: Most neurological disorders in our context have a high frequency of urinary sphincter disorders, which makes it necessary to investigate the etiologies and analyze the epidemio-clinical features.

Methods: This is a prospective descriptive study lasting one year, from October 01, 2022 to September 31, 2023, at the Conakry University Hospital. Including patients who presented with urinary sphincter disorders following a neurological condition, in which we described our sample according to our objectives and socio-demographic characteristics.

Results: We identified 1371 patients, 557 of whom had neurological urinary sphincter disorders (TSUON), representing a frequency of 40.6%, with an average age of 61.92 ± 17.17 and a male predominance of 50.2%. 59% of our patients consulted us within 1-6 days. Stroke was the most common reason for hospitalization (70.1%), followed by urinary incontinence (54.2%). The average hospital stay was 12.96 ± 6.71 hours, during which 81.7% of patients had a favourable outcome.

Conclusion: The deterioration in quality of life of elderly subjects suffering from urinary incontinence in the course of neurological disorders calls for multidisciplinary management.