Lower urinary tract dysfunction in cerebral palsy.

Reid, Christopher; Borzyskowski, Malgorzata

doi:10.1136/adc.68.6.739

Cited by 69 publications

(84 citation statements)

References 15 publications

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“…The possible reasons for the higher prevalence of UTI among CP children had been enumerated earlier [2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the impaired cognition and the inability to communicate bladder fullness and the need to void, together with an impaired mobility may also explain the tendency to urinary retention and the attendant risk of urinary tract infections [2,6]. A prevalence of 2.2% -32.5% of urinary tract infections among cerebral palsy patients has been reported by authors from developed countries [2,7,8]. Unfortunately, there has been no report of UTI among patients with cerebral palsy in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

“…The lower urinary tract dysfunctions manifest symptomatically as urinary incontinence, urgency, frequency, hesitancy and urinary tract infection [2]. Possible reasons for the propensity to urinary tract infections include vesicoureteral reflux and incomplete bladder emptying resulting from detrusor hyperreflexia and detrusor sphincter dysynergia [2][3][4][5]. In addition, the impaired cognition and the inability to communicate bladder fullness and the need to void, together with an impaired mobility may also explain the tendency to urinary retention and the attendant risk of urinary tract infections [2,6].…”

Section: Introductionmentioning

confidence: 99%

“…Possible reasons for the propensity to urinary tract infections include vesicoureteral reflux and incomplete bladder emptying resulting from detrusor hyperreflexia and detrusor sphincter dysynergia [2][3][4][5]. In addition, the impaired cognition and the inability to communicate bladder fullness and the need to void, together with an impaired mobility may also explain the tendency to urinary retention and the attendant risk of urinary tract infections [2,6]. A prevalence of 2.2% -32.5% of urinary tract infections among cerebral palsy patients has been reported by authors from developed countries [2,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…This morbidity comprised of seizure disorders, mental retardation, abnormalities of vision, problems with respiratory muscle and lower urinary tract dysfunctions [1]. The lower urinary tract dysfunctions manifest symptomatically as urinary incontinence, urgency, frequency, hesitancy and urinary tract infection [2]. Possible reasons for the propensity to urinary tract infections include vesicoureteral reflux and incomplete bladder emptying resulting from detrusor hyperreflexia and detrusor sphincter dysynergia [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and predictors of urinary tract infections among children with cerebral palsy in Makurdi, Nigeria

Anígilájé¹,

Bitto²

2013

OJPed

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Background: Children with cerebral palsy (CP) are prone to urinary tract infection (UTI), a common cause of childhood morbidity and mortality. However, there has been no report regarding the prevalence of UTI among this group of children in Nigeria. Objectives: The study aims at determining the prevalence and the possible predictors of UTI in children with CP compared to age and sex matched children without CP. Methods: A prospective cross-sectional study was carried out among consecutive children with CP at the Neurologic Clinic in the Paediatric Department of the Federal Medical Centre, Makurdi, Nigeria, from December 2011 to May 2013. Results: The age range of the studied population was between 2 and 15 years with a mean age of 8.63 ± 3.83 years including 30 males and 22 females. UTI was confirmed in 20 (38.5%) children with cerebral palsy compared to 2 children (3.8%) without CP (p value 0.000). Among children with CP, Escherichia coli was the commonest organism isolated in 9 (9/20, 45.0%), Streptococcus faecalis in 4 (20.0%), Staphylococcus aureus in 3 (15%), while both Proteus spp., and Klebsiella spp., were isolated in 2 children (10.0%) each. Escherichia coli was also found in the 2 children without CP. All the organisms were resistant to co-trimoxazole, nalidixic acid, nitrofuratoin and amoxiclav, while they were 100% sensitive to ceftriazone and the quinolones. In a univariate regression, analysis only moderate to severe gross motor dysfunction predicted the risk of UTI (OR = 54.81, 95%CI, 2.27 -1324.00, p value 0.014). Conclusion: Efforts should be put in place to aid mobility among children with CP in order to reduce risk of UT.

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“…The possible reasons for the higher prevalence of UTI among CP children had been enumerated earlier [2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence and predictors of urinary tract infections among children with cerebral palsy in Makurdi, Nigeria

Anígilájé¹,

Bitto²

2013

OJPed

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Effects of sacral dorsal rhizotomy on bladder function in patients with spastic cerebral palsy

Sweetser

Badell

Schneider

et al. 1995

Neurourology and Urodynamics

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A newly revised operation for controlling spasticity in cerebral palsy patients, selective dorsal rhizotomy (SDR), has the potential to affect bladder function. The goal of this multidisciplinary study is to investigate the potential change in bladder function by characterizing and comparing pre- and post-operative symptoms and bladder function, both qualitatively and quantitatively, in 34 pediatric patients over the age of three with spastic cerebral palsy as the indication for selective dorsal rhizotomy. Video urodynamics were performed in a subset of patients. Almost all patients with quadriplegia were incontinent (8/9) and none were significantly helped with bladder control. Almost half (5/11) of patients with diplegia who failed prior bladder control training were able to gain continence post-operatively. No patient experienced permanent damage to the function of their bladder. In conclusion, selective dorsal rhizotomy using the revised technique of Peacock [Peacock et al. (1987): Pediatr Neurosci 13:61-66.] appears to be safe for spastic cerebral palsy patients' bladder function. It can help decrease symptoms and improve bladder capacity and control in almost half of those symptomatic cerebral palsy patients with diplegia.

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