Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy

Gündoğdu, Gökhan; Kömür, Mustafa; Avlan, Dinçer; Sarı, Ferda Bacaksızlar; Delibaş, Ali; Taşdelen, Bahar; Naycı, Ali; Okuyaz, Çetin

doi:10.1016/j.jpurol.2012.07.020

Cited by 29 publications

(29 citation statements)

References 19 publications

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“…Children with spastic CP have more LUTS than children with other types of CP . DSD is also more common in children with spastic CP …”

Section: Resultsmentioning

confidence: 99%

“…In contrast, Decter et al reported UUTD in almost all subjects with UTI and DSD. LUTS can be predictive for UUTD, but emphasis should lie on voiding symptoms associated with DSD . Murphy et al add that NDO accompanied with reduced bladder capacity in childhood can evolve to neurogenic detrusor underactivity and distention of the bladder with age.…”

Section: Discussionmentioning

confidence: 99%

“…Generalized spasticity is associated with spasticity of the pelvic floor . LUT dysfunction could be more apparent in spastic quadriplegia as a result of involuntary abdominal and pelvic floor contractions . Children with spasticity may also be more vulnerable to acquire pelvic floor hyperactivity in reaction to NDO .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

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“…Children with spastic CP have more LUTS than children with other types of CP . DSD is also more common in children with spastic CP …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

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“…[1] The lower urinary tract dysfunctions are manifested 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 dyssynergia [2–7]. 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, 8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Predictors of Urinary Tract Infections among Children with Cerebral Palsy in Makurdi, Nigeria

Anígilájé

Bitto

2013

International Journal of Nephrology

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Background. Children with cerebral palsy (CP) are prone to urinary tract infection (UTI). Methods/Objectives. The prevalence and the predictors of UTI among children with CP were compared to age- and sex-matched children without CP at Federal Medical Centre, Makurdi, Nigeria, from December 2011 to May 2013. Results. The age range 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%) CP children compared to 2 children (3.8%) without CP (P value 0.000). Among CP children, Escherichia coli was the commonest organism isolated in 9 (9/20, 45.0%), Streptococcus faecalis in 4 (20.0%), and 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 cotrimoxazole, nalidixic acid, nitrofurantoin, and amoxiclav, while they were 100% sensitive to ceftriaxone 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 CP children in order to reduce the risk of UTI.

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“…Half of children suffering from cerebral palsy have a spectrum of clinical and urodynamic bladder dysfunction with a high risk of renal damage [132]. Of these children, 77.4 % void spontaneously but are incontinent [92] during the day and night or rarely limited to nocturnal leakage.…”

Section: Cerebral Palsymentioning

confidence: 99%

Pediatric Bladder Disorders

Bérard

2014

Pediatric Nephrology

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Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy

Cited by 29 publications

References 19 publications

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

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

Prevalence and Predictors of Urinary Tract Infections among Children with Cerebral Palsy in Makurdi, Nigeria

Pediatric Bladder Disorders

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