Lower urinary tract dysfunction in children with cerebral palsy

Silva, José Ailton Fernandes; Alvares, Ronaldo Alvarenga; Barboza, André Luís; Monteiro, Raphael Temporão Maciel

doi:10.1002/nau.20714

Cited by 38 publications

(63 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Study inclusion criteria were age range of 7-16 years, absent lower urinary tract infection, the ability to sit on chair, be able to say they feel the need to urinate, voiding dysfunction symptoms for at least six months, no history of physical therapy, medication and surgery treatments for voiding dysfunction. Ultrasound post void residual urine (PVR)], was performed before PTNS [1]. The criteria used for an increased in PVR was a volume higher than 20 ml [1].…”

Section: Methodsmentioning

confidence: 99%

“…Ultrasound post void residual urine (PVR)], was performed before PTNS [1]. The criteria used for an increased in PVR was a volume higher than 20 ml [1]. PVR is the amount of residual urine in the bladder after a voluntary void which is measured by ultrasonography device.…”

Section: Methodsmentioning

confidence: 99%

“…Motor disorders of CP are often accompanied by disturbances of sensation, perception, cognition, communication, and behavior. Epilepsy and musculoskeletal problems are associated with secondary disorders [1]. Although upper urinary tract damage is not frequent in this patient group, the prevalence of dysfunctional voiding symptoms is about 30% [3].…”

Section: Introductionmentioning

confidence: 97%

“…Although upper urinary tract damage is not frequent in this patient group, the prevalence of dysfunctional voiding symptoms is about 30% [3]. Symptoms of urinary tract dysfunction in CP are frequently including increased post-void residual urine, urge incontinence, urgency, hesitancy and enuresis [1]. Treatment of these urinary disorders includes medical therapy, physical therapy and surgery [4].…”

Section: Introductionmentioning

confidence: 99%

“…Neurogenic bladder (NGB), a dysfunction of urinary bladder and urethra, is caused by damaging of neurons or diseases of the central, peripheral or autonomic nervous systems that found in many patients with neurologic disorders, including cerebral palsy [1], multiple sclerosis, Parkinson's disease, spinal cord injury, stroke, spine bifida, caudal equine syndrome, diabetes mellitus with autonomic neuropathy and unintended squeal following pelvic surgery [2].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effects of percutaneous posterior tibial nerve stimulation on voiding dysfunctions in cerebral palsy: A case report

Alishahi¹,

Farjad²,

Manshadi³

2017

PUCR

View full text Add to dashboard Cite

A B S T R A C TThe present study, conducted on three children with cerebral palsy who had voiding dysfunction. After collecting demographic information, symptoms of voiding dysfunctions were recorded. Then; we did an ultrasonographic evaluation of the bladder to measure residual urine volume. Physiotherapy treatment through percutaneous electrical stimulation of the posterior tibial nerve was performed in 12 sessions. Bladder ultrasonography was repeated after treatment. Abnormal residual urine volume became normal in patients with urinary retention. Percutaneous posterior tibial nerve stimulation reduces symptoms of voiding dysfunctions in children with cerebral palsy.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effects of percutaneous posterior tibial nerve stimulation on voiding dysfunctions in cerebral palsy: A case report

Alishahi¹,

Farjad²,

Manshadi³

2017

PUCR

View full text Add to dashboard Cite

show abstract

Lower urinary tract symptoms and urodynamic findings in children and adults with cerebral palsy: A systematic review

Samijn

Laecke

Renson

et al. 2016

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

Bladder changes after catheterizable channel creation in adults with cerebral palsy who are in chronic urinary retention

Narayan

Pariser

Gor

et al. 2018

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: Cerebral palsy (CP) is characterized by motor impairments as a result of brain injury during development. Patients can have neurogenic bladder dysfunction and are often unable to catheterize through their native urethra. Catheterizable channel (CC) creation can facilitate clean intermittent catheterization (CIC). We have observed that patients with large capacity, low-pressure bladders can develop de novo neurogenic detrusor overactivity (NDO) postoperatively. We sought to better characterize this finding. Methods: We reviewed the charts of patients 17 years or older with CP seen between 2006 and 2017. Patients undergoing creation of any type of CC without augmentation cystoplasty, due to adequate storage on pre-operative urodynamics (UDS), were included. Pre-and post-operative UDS were reviewed. Frequency of incontinence and use of anticholinergics or intravesical injections of onabotulinum toxin A (Btx) were reviewed. Results: Eight patients with CP underwent CC creation without augmentation. Preoperatively, six of eight patients were in chronic retention with two others performing CIC. Following CC creation, patients in retention required additional NDO management with anticholinergics, mirabegron, or onabotulinumtoxin A. Among those with complete UDS data, 67% demonstrated lower maximum cystometric capacity postoperatively. Median follow-up was 25 months. Conclusions: CC creation facilitates CIC in adults with CP who are in chronic retention due to pseudodyssynergia. Despite preoperative UDS suggesting an adequate capacity, low-pressure bladder, such patients often manifest de novo NDO and worsening incontinence upon initiation of CIC after surgery. These findings should be considered when determining whether to perform augmentation at the time of CC in adults with CP. K E Y W O R D S augmentation cystoplasty, bladder augmentation, catheterizable channel, cerebral palsy, chronic urinary retention, neurogenic bladder, neurogenic detrusor overactivity

show abstract

Lower urinary tract dysfunction in children with cerebral palsy

Abstract: Almost one-third of the patients with cerebral palsy and urinary symptoms presented with normal urodynamic findings. The most frequent findings were reduced bladder capacity, detrusor overactivity, and increased post-void residual. No urinary tract complications were observed.

Cited by 38 publications

References 19 publications

Effects of percutaneous posterior tibial nerve stimulation on voiding dysfunctions in cerebral palsy: A case report

Effects of percutaneous posterior tibial nerve stimulation on voiding dysfunctions in cerebral palsy: A case report

Lower urinary tract symptoms and urodynamic findings in children and adults with cerebral palsy: A systematic review

Bladder changes after catheterizable channel creation in adults with cerebral palsy who are in chronic urinary retention

Contact Info

Product

Resources

About