Related Experiment Videos
[Urination disorders and neurological disease except for o obvious medullary pathology: perinatal brain lesions with
1Service de médecine physique et de réadaptation, hôpital Bellevue, Saint-Etienne, France.
Insights
Children with intellectual disability frequently experience urinary incontinence due to poor micturition control, often alongside constipation. Urodynamic findings help explain wetting, guiding tailored treatment as part of overall developmental training.
Area of Science:
- Pediatric Urology
- Neurodevelopmental Disabilities
- Continence Management
Context:
- Children with intellectual disability often exhibit urinary incontinence.
- Associated conditions include constipation and encopresis.
- Assessment of renal function and upper urinary tract is crucial.
Purpose:
- To summarize the causes and management of urinary incontinence in children with intellectual disability.
- To highlight the importance of urodynamic evaluation.
Summary:
- Urinary incontinence in this population stems from impaired micturition control.
- Common urodynamic findings include small bladder capacity, uninhibited bladder contractions, hypertonic sphincters, or detrusor-sphincter dyssynergia leading to incomplete emptying.
- While urinary tract infections are frequent, upper tract complications due to bladder dysfunction are rare.
Impact:
- Informs clinical practice for managing voiding dysfunction in children with intellectual disability.
- Emphasizes the need for individualized treatment plans integrated with overall developmental training.
- Improves understanding of the urodynamic basis of incontinence in this vulnerable group.
Abstract:
Children with mental retardation often present urinary incontinence because they are unable to control micturition. Constipation and/or encopresis are often associated. Careful assessment of the upper urinary tract and renal function is indicated. Urinary infections are frequent, however, bladder dysfunction complications of the upper urinary tract are uncommon. The cause of wetting could be explained by urodynamic findings: small capacity bladder with uninhibited contractions, hypertonic sphincter, or incomplete emptying secondary to detrusor-sphincter dyssynergia. Treatment of urinary incontinence should be adapted to the type of incontinence and be apart of the global training.