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Lower urinary tract dysfunction in children with cerebral palsy.
José Ailton Fernandes Silva1, Ronaldo Alvarenga Alvares, André Luis Barboza
1Department of Urology, SARAH Network of Rehabilitation Hospitals, Belo Horizonte, MG, Brazil. ailton@sarah.br
Neurourology and Urodynamics
|March 5, 2009
Summary
Children with cerebral palsy and urinary symptoms often show abnormal urodynamic findings like reduced bladder capacity and detrusor overactivity. However, serious renal damage was not observed in this study group.
Area of Science:
- Pediatric Urology
- Neurology
- Urodynamics
Background:
- Cerebral palsy (CP) can significantly impact lower urinary tract function.
- Urinary symptoms are common in children with CP, necessitating thorough evaluation.
Purpose of the Study:
- To assess urodynamic parameters in children diagnosed with cerebral palsy presenting with lower urinary tract symptoms.
- To investigate the prevalence of potential renal damage in this patient cohort.
Main Methods:
- Urodynamic evaluation, urine analysis, serum creatinine, and renal/urinary tract ultrasonography were performed.
- Voiding cystourethrography was utilized for patients with a history of urinary tract infections.
Main Results:
- Reduced bladder capacity (54%) and detrusor overactivity (35.1%) were the most frequent urodynamic findings.
- Increased post-void residual volume was noted in 13.5% of cases; low bladder compliance in 10.8%.
Conclusions:
- A significant proportion of children with CP and urinary issues exhibit abnormal urodynamic results.
- Despite frequent bladder dysfunction, no instances of hydronephrosis or vesicoureteral reflux were detected.
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