Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy
Abstract Although lower urinary tract dysfunction (LUTD) in patients with cerebral palsy (CP) has been previously documented by clinical observations and urodynamic tests, its correlation with upper urinary tract deterioration (UUTD) has not been demonstrated. This paper documents symptoms and urody...
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| Veröffentlicht in: | Journal of pediatric urology 2013-10, Vol.9 (5), p.659-664 |
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| container_title | Journal of pediatric urology |
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| creator | Gündoğdu, Gökhan Kömür, Mustafa Avlan, Dinçer Sarı, Ferda Bacaksızlar Delibaş, Ali Taşdelen, Bahar Naycı, Ali Okuyaz, Çetin |
| description | Abstract Although lower urinary tract dysfunction (LUTD) in patients with cerebral palsy (CP) has been previously documented by clinical observations and urodynamic tests, its correlation with upper urinary tract deterioration (UUTD) has not been demonstrated. This paper documents symptoms and urodynamic findings of LUTD and their relationship with UUTD in 33 children with CP. By sonography, 4 of these children were found to have UUTD. Age was found to correlate with UUTD, but gender difference and mental or motor functions did not. When comparing urinary symptoms with UUTD, incontinence ( n = 31) did not correlate, but on the other hand symptoms of detrusor sphincter dyssynergia (interrupted voiding, urinary retention, hesitancy; n = 5) and culture proven febrile urinary tract infections ( n = 4) did. Abnormal urodynamics findings were not diagnostic. We conclude that, apart from incontinence, dysfunctional voiding symptoms and febrile urinary tract infections are valuable indicators of UUTD. |
| doi_str_mv | 10.1016/j.jpurol.2012.07.020 |
| format | Article |
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This paper documents symptoms and urodynamic findings of LUTD and their relationship with UUTD in 33 children with CP. By sonography, 4 of these children were found to have UUTD. Age was found to correlate with UUTD, but gender difference and mental or motor functions did not. When comparing urinary symptoms with UUTD, incontinence ( n = 31) did not correlate, but on the other hand symptoms of detrusor sphincter dyssynergia (interrupted voiding, urinary retention, hesitancy; n = 5) and culture proven febrile urinary tract infections ( n = 4) did. Abnormal urodynamics findings were not diagnostic. We conclude that, apart from incontinence, dysfunctional voiding symptoms and febrile urinary tract infections are valuable indicators of UUTD.</description><identifier>ISSN: 1477-5131</identifier><identifier>EISSN: 1873-4898</identifier><identifier>DOI: 10.1016/j.jpurol.2012.07.020</identifier><identifier>PMID: 22921013</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Bladder dysfunction ; Cerebral palsy ; Cerebral Palsy - complications ; Cerebral Palsy - physiopathology ; Child ; Child, Preschool ; Dilatation, Pathologic ; Female ; Humans ; Kidney ; Kidney Calices - diagnostic imaging ; Kidney Calices - pathology ; Male ; Pediatrics ; Quadriplegia - etiology ; Quadriplegia - physiopathology ; Ultrasonography ; Urinary Bladder - physiopathology ; Urinary Incontinence - complications ; Urinary Retention - complications ; Urinary Retention - physiopathology ; Urinary Tract - diagnostic imaging ; Urinary Tract - physiopathology ; Urination Disorders - complications ; Urination Disorders - physiopathology ; Urodynamics ; Urology</subject><ispartof>Journal of pediatric urology, 2013-10, Vol.9 (5), p.659-664</ispartof><rights>Journal of Pediatric Urology Company</rights><rights>2012 Journal of Pediatric Urology Company</rights><rights>Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-94233cc5659588b71c9a1109d6c4e28edcc0570efb211398549b30311dac0b123</citedby><cites>FETCH-LOGICAL-c417t-94233cc5659588b71c9a1109d6c4e28edcc0570efb211398549b30311dac0b123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpurol.2012.07.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22921013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gündoğdu, Gökhan</creatorcontrib><creatorcontrib>Kömür, Mustafa</creatorcontrib><creatorcontrib>Avlan, Dinçer</creatorcontrib><creatorcontrib>Sarı, Ferda Bacaksızlar</creatorcontrib><creatorcontrib>Delibaş, Ali</creatorcontrib><creatorcontrib>Taşdelen, Bahar</creatorcontrib><creatorcontrib>Naycı, Ali</creatorcontrib><creatorcontrib>Okuyaz, Çetin</creatorcontrib><title>Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy</title><title>Journal of pediatric urology</title><addtitle>J Pediatr Urol</addtitle><description>Abstract Although lower urinary tract dysfunction (LUTD) in patients with cerebral palsy (CP) has been previously documented by clinical observations and urodynamic tests, its correlation with upper urinary tract deterioration (UUTD) has not been demonstrated. This paper documents symptoms and urodynamic findings of LUTD and their relationship with UUTD in 33 children with CP. By sonography, 4 of these children were found to have UUTD. Age was found to correlate with UUTD, but gender difference and mental or motor functions did not. When comparing urinary symptoms with UUTD, incontinence ( n = 31) did not correlate, but on the other hand symptoms of detrusor sphincter dyssynergia (interrupted voiding, urinary retention, hesitancy; n = 5) and culture proven febrile urinary tract infections ( n = 4) did. Abnormal urodynamics findings were not diagnostic. We conclude that, apart from incontinence, dysfunctional voiding symptoms and febrile urinary tract infections are valuable indicators of UUTD.</description><subject>Adolescent</subject><subject>Bladder dysfunction</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - complications</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dilatation, Pathologic</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney</subject><subject>Kidney Calices - diagnostic imaging</subject><subject>Kidney Calices - pathology</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Quadriplegia - etiology</subject><subject>Quadriplegia - physiopathology</subject><subject>Ultrasonography</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary Incontinence - complications</subject><subject>Urinary Retention - complications</subject><subject>Urinary Retention - physiopathology</subject><subject>Urinary Tract - diagnostic imaging</subject><subject>Urinary Tract - physiopathology</subject><subject>Urination Disorders - complications</subject><subject>Urination Disorders - physiopathology</subject><subject>Urodynamics</subject><subject>Urology</subject><issn>1477-5131</issn><issn>1873-4898</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV2L1TAQhoso7rr6D0Ry6U3rTNKeNDeCLH7BguDHnRDSZMqm5jQ1aZXz7009qxfeeDUh877vMM9U1VOEBgEPL6ZmWrYUQ8MBeQOyAQ73qkvspajbXvX3y7uVsu5Q4EX1KOcJQEjg6mF1wbniJURcVl8_UjCrj3O-9QuLIxuCcY4Sc6c8brPdW-ynX2_Ztizle0t-NunE1mTsyhytlHxMvxOYn5mlREMygS0m5NPj6sFYKj25q1fVlzevP1-_q28-vH1__eqmti3KtVYtF8La7tCpru8HiVYZRFDuYFviPTlroZNA48ARheq7Vg0CBKIzFgbk4qp6fs5dUvy-UV710WdLIZiZ4pY1tlwdRN9DW6TtWWpTzDnRqJfkj2UjjaB3rnrSZ65656pB6sK12J7dTdiGI7m_pj8gi-DlWUBlzx-eks7W02zJ-UR21S76_034N8AGP3trwjc6UZ7ilubCUKPOxaM_7bfdT4scil2C-AUMx6DC</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Gündoğdu, Gökhan</creator><creator>Kömür, Mustafa</creator><creator>Avlan, Dinçer</creator><creator>Sarı, Ferda Bacaksızlar</creator><creator>Delibaş, Ali</creator><creator>Taşdelen, Bahar</creator><creator>Naycı, Ali</creator><creator>Okuyaz, Çetin</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy</title><author>Gündoğdu, Gökhan ; Kömür, Mustafa ; Avlan, Dinçer ; Sarı, Ferda Bacaksızlar ; Delibaş, Ali ; Taşdelen, Bahar ; Naycı, Ali ; Okuyaz, Çetin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-94233cc5659588b71c9a1109d6c4e28edcc0570efb211398549b30311dac0b123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Bladder dysfunction</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - complications</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dilatation, Pathologic</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney</topic><topic>Kidney Calices - diagnostic imaging</topic><topic>Kidney Calices - pathology</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Quadriplegia - etiology</topic><topic>Quadriplegia - physiopathology</topic><topic>Ultrasonography</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary Incontinence - complications</topic><topic>Urinary Retention - complications</topic><topic>Urinary Retention - physiopathology</topic><topic>Urinary Tract - diagnostic imaging</topic><topic>Urinary Tract - physiopathology</topic><topic>Urination Disorders - complications</topic><topic>Urination Disorders - physiopathology</topic><topic>Urodynamics</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gündoğdu, Gökhan</creatorcontrib><creatorcontrib>Kömür, Mustafa</creatorcontrib><creatorcontrib>Avlan, Dinçer</creatorcontrib><creatorcontrib>Sarı, Ferda Bacaksızlar</creatorcontrib><creatorcontrib>Delibaş, Ali</creatorcontrib><creatorcontrib>Taşdelen, Bahar</creatorcontrib><creatorcontrib>Naycı, Ali</creatorcontrib><creatorcontrib>Okuyaz, Çetin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gündoğdu, Gökhan</au><au>Kömür, Mustafa</au><au>Avlan, Dinçer</au><au>Sarı, Ferda Bacaksızlar</au><au>Delibaş, Ali</au><au>Taşdelen, Bahar</au><au>Naycı, Ali</au><au>Okuyaz, Çetin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy</atitle><jtitle>Journal of pediatric urology</jtitle><addtitle>J Pediatr Urol</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>9</volume><issue>5</issue><spage>659</spage><epage>664</epage><pages>659-664</pages><issn>1477-5131</issn><eissn>1873-4898</eissn><abstract>Abstract Although lower urinary tract dysfunction (LUTD) in patients with cerebral palsy (CP) has been previously documented by clinical observations and urodynamic tests, its correlation with upper urinary tract deterioration (UUTD) has not been demonstrated. This paper documents symptoms and urodynamic findings of LUTD and their relationship with UUTD in 33 children with CP. By sonography, 4 of these children were found to have UUTD. Age was found to correlate with UUTD, but gender difference and mental or motor functions did not. When comparing urinary symptoms with UUTD, incontinence ( n = 31) did not correlate, but on the other hand symptoms of detrusor sphincter dyssynergia (interrupted voiding, urinary retention, hesitancy; n = 5) and culture proven febrile urinary tract infections ( n = 4) did. Abnormal urodynamics findings were not diagnostic. We conclude that, apart from incontinence, dysfunctional voiding symptoms and febrile urinary tract infections are valuable indicators of UUTD.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22921013</pmid><doi>10.1016/j.jpurol.2012.07.020</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Bladder dysfunction Cerebral palsy Cerebral Palsy - complications Cerebral Palsy - physiopathology Child Child, Preschool Dilatation, Pathologic Female Humans Kidney Kidney Calices - diagnostic imaging Kidney Calices - pathology Male Pediatrics Quadriplegia - etiology Quadriplegia - physiopathology Ultrasonography Urinary Bladder - physiopathology Urinary Incontinence - complications Urinary Retention - complications Urinary Retention - physiopathology Urinary Tract - diagnostic imaging Urinary Tract - physiopathology Urination Disorders - complications Urination Disorders - physiopathology Urodynamics Urology |
| title | Relationship of bladder dysfunction with upper urinary tract deterioration in cerebral palsy |
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