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Lower urinary tract dysfunction in cerebral palsy

C J Reid1, M Borzyskowski

  • 1Department of Paediatrics, Guy's Hospital, London.

Archives of Disease in Childhood
|June 1, 1993
PubMed
Summary
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Children with cerebral palsy experiencing lower urinary tract dysfunction, particularly daytime incontinence, can see significant symptom improvement or resolution with early assessment and treatment based on urodynamic findings.

Area of Science:

  • Pediatric Urology
  • Neurology
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) frequently presents with neurological impairments affecting motor function.
  • Lower urinary tract dysfunction (LUTD) is a common but often underdiagnosed complication in children with CP.
  • Symptoms of LUTD can significantly impact quality of life for affected children and their families.

Purpose of the Study:

  • To review the clinical features and management strategies for children with cerebral palsy and symptoms of lower urinary tract dysfunction.
  • To evaluate the effectiveness of urodynamic studies in diagnosing LUTD in this population.
  • To assess the outcomes of treatment guided by urodynamic findings.

Main Methods:

  • Retrospective review of 27 children diagnosed with cerebral palsy and referred for lower urinary tract dysfunction symptoms.

Related Experiment Videos

  • Analysis of clinical presentations, urodynamic study results, and treatment interventions.
  • Assessment of treatment outcomes based on symptom improvement at follow-up.

    • Main Results:

    • Daytime urinary incontinence was the most frequent presenting symptom in the cohort (mean age 9.9 years).
    • Videourodynamic studies revealed abnormalities in 85% (23/27) of the children.
    • Upper renal tract damage was identified in only two children.
    • Treatment tailored to urodynamic findings resulted in symptom improvement in all patients with available follow-up data.

    Conclusions:

    • Lower urinary tract dysfunction, including urinary incontinence, is prevalent in children with cerebral palsy.
    • Videourodynamic studies are crucial for accurate diagnosis and guiding effective treatment.
    • Early referral for assessment and management of LUTD can lead to significant improvement or cure of urinary incontinence in children with CP, positively impacting their quality of life.