Lower Urinary Tract Dysfunction and Ultrasound Assessment of Bladder Wall Thickness in Children With Cerebral Palsy

Objectives To evaluate lower urinary tract dysfunction (LUTD) based on questionnaire symptom scoring and ultrasound assessment of bladder wall thickness (BWT) in children with cerebral palsy (CP). Methods A total of 97 children with CP were enrolled in the study. The patients were either symptomatic...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 2010-10, Vol.76 (4), p.942-945
Hauptverfasser: Silva, José Ailton Fernandes, Gonsalves, Márcia de Castro Diniz, Saverio, Andresa Pianta, Oliveira, Iolanda Correia, Carrerette, Fabrício Borges, Damião, Ronaldo
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container_end_page 945
container_issue 4
container_start_page 942
container_title Urology (Ridgewood, N.J.)
container_volume 76
creator Silva, José Ailton Fernandes
Gonsalves, Márcia de Castro Diniz
Saverio, Andresa Pianta
Oliveira, Iolanda Correia
Carrerette, Fabrício Borges
Damião, Ronaldo
description Objectives To evaluate lower urinary tract dysfunction (LUTD) based on questionnaire symptom scoring and ultrasound assessment of bladder wall thickness (BWT) in children with cerebral palsy (CP). Methods A total of 97 children with CP were enrolled in the study. The patients were either symptomatic or asymptomatic with respect to lower urinary tract symptoms. All children underwent a urinary questionnaire and renal ultrasonography. Ultrasound assessment of BWT was completed in 72 cases. Results A total of 47 patients were female and 50 were male. The mean age was 8 years 8 months (SD 3 years 1 month), with a range of 5-18 years. Urinary incontinence was present in 43 patients (44.3%). Based on the questionnaire, LUTD was found in 59 patients (60.8%). The mean BWT was 2.30 mm. There was no statistically significant difference between continent and incontinent children (2.46 vs 2.19 mm) or between children with and without LUTD (2.43 vs 2.12 mm). Conclusions LUTD is common in children with CP and occurred in 60.8% of the patients assessed. BWT did not correlate with the presence of bladder dysfunction or incontinence. Ultrasound assessment of BWT was not relevant for diagnosis of lower urinary tract dysfunction.
doi_str_mv 10.1016/j.urology.2010.04.005
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Methods A total of 97 children with CP were enrolled in the study. The patients were either symptomatic or asymptomatic with respect to lower urinary tract symptoms. All children underwent a urinary questionnaire and renal ultrasonography. Ultrasound assessment of BWT was completed in 72 cases. Results A total of 47 patients were female and 50 were male. The mean age was 8 years 8 months (SD 3 years 1 month), with a range of 5-18 years. Urinary incontinence was present in 43 patients (44.3%). Based on the questionnaire, LUTD was found in 59 patients (60.8%). The mean BWT was 2.30 mm. There was no statistically significant difference between continent and incontinent children (2.46 vs 2.19 mm) or between children with and without LUTD (2.43 vs 2.12 mm). Conclusions LUTD is common in children with CP and occurred in 60.8% of the patients assessed. BWT did not correlate with the presence of bladder dysfunction or incontinence. Ultrasound assessment of BWT was not relevant for diagnosis of lower urinary tract dysfunction.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2010.04.005</identifier><identifier>PMID: 20579700</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Cerebral Palsy - complications ; Cerebral Palsy - pathology ; Child ; Child, Preschool ; Constipation - etiology ; Constipation - pathology ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Kidney - diagnostic imaging ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Nervous system (semeiology, syndromes) ; Neurology ; Paraplegia - etiology ; Quadriplegia - etiology ; Severity of Illness Index ; Ultrasonography ; Urinary Bladder - diagnostic imaging ; Urinary system involvement in other diseases. Miscellaneous ; Urinary Tract Infections - diagnostic imaging ; Urinary Tract Infections - etiology ; Urinary Tract Infections - pathology ; Urinary tract. Prostate gland ; Urination Disorders - diagnostic imaging ; Urination Disorders - etiology ; Urination Disorders - pathology ; Urology</subject><ispartof>Urology (Ridgewood, N.J.), 2010-10, Vol.76 (4), p.942-945</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-365a7caa3cb22bfbe509928d7ffa07dc491b93a39f72029825361f753fa00ae93</citedby><cites>FETCH-LOGICAL-c449t-365a7caa3cb22bfbe509928d7ffa07dc491b93a39f72029825361f753fa00ae93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2010.04.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23503757$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20579700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva, José Ailton Fernandes</creatorcontrib><creatorcontrib>Gonsalves, Márcia de Castro Diniz</creatorcontrib><creatorcontrib>Saverio, Andresa Pianta</creatorcontrib><creatorcontrib>Oliveira, Iolanda Correia</creatorcontrib><creatorcontrib>Carrerette, Fabrício Borges</creatorcontrib><creatorcontrib>Damião, Ronaldo</creatorcontrib><title>Lower Urinary Tract Dysfunction and Ultrasound Assessment of Bladder Wall Thickness in Children With Cerebral Palsy</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objectives To evaluate lower urinary tract dysfunction (LUTD) based on questionnaire symptom scoring and ultrasound assessment of bladder wall thickness (BWT) in children with cerebral palsy (CP). Methods A total of 97 children with CP were enrolled in the study. The patients were either symptomatic or asymptomatic with respect to lower urinary tract symptoms. All children underwent a urinary questionnaire and renal ultrasonography. Ultrasound assessment of BWT was completed in 72 cases. Results A total of 47 patients were female and 50 were male. The mean age was 8 years 8 months (SD 3 years 1 month), with a range of 5-18 years. Urinary incontinence was present in 43 patients (44.3%). Based on the questionnaire, LUTD was found in 59 patients (60.8%). The mean BWT was 2.30 mm. There was no statistically significant difference between continent and incontinent children (2.46 vs 2.19 mm) or between children with and without LUTD (2.43 vs 2.12 mm). Conclusions LUTD is common in children with CP and occurred in 60.8% of the patients assessed. BWT did not correlate with the presence of bladder dysfunction or incontinence. Ultrasound assessment of BWT was not relevant for diagnosis of lower urinary tract dysfunction.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Cerebral Palsy - complications</subject><subject>Cerebral Palsy - pathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Constipation - etiology</subject><subject>Constipation - pathology</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Kidney - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Paraplegia - etiology</subject><subject>Quadriplegia - etiology</subject><subject>Severity of Illness Index</subject><subject>Ultrasonography</subject><subject>Urinary Bladder - diagnostic imaging</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary Tract Infections - diagnostic imaging</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urinary Tract Infections - pathology</subject><subject>Urinary tract. Prostate gland</subject><subject>Urination Disorders - diagnostic imaging</subject><subject>Urination Disorders - etiology</subject><subject>Urination Disorders - pathology</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkkuP0zAQgCMEYsvCTwD5gjiljO04Xl9AS3lKlUCi1R4tx5lQd117sRNQ_j2uWkDiwmkszzcPfZqqekphSYG2L_fLKUUfv81LBuUPmiWAuFctqGCyVkqJ-9UCQEHdMCUuqkc57wGgbVv5sLpgIKSSAIsqr-NPTGSbXDBpJptk7EjeznmYgh1dDMSEnmz9mEyOU3le54w5HzCMJA7kjTd9X8pvjPdks3P2NpQscYGsds73CQO5ceOOrDBhl4wnX4zP8-PqwVAiPjnHy2r7_t1m9bFef_7waXW9rm3TqLHmrTDSGsNtx1g3dChAKXbVy2EwIHvbKNopbrgaJAOmrpjgLR2k4CUNBhW_rF6c-t6l-H3CPOqDyxa9NwHjlLUUsmm5oLKQ4kTaFHNOOOi75A5FiKagj7r1Xp9166NuDY0uukvds_OEqTtg_6fqt98CPD8DJlvjh2SCdfkvxwXwskbhXp84LD5-OEw6W4fBYu8S2lH30f13lVf_dLDeBVeG3uKMeR-nFIpsTXVmGvTX420cT4OWqxAgGv4LYpG2qg</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Silva, José Ailton Fernandes</creator><creator>Gonsalves, Márcia de Castro Diniz</creator><creator>Saverio, Andresa Pianta</creator><creator>Oliveira, Iolanda Correia</creator><creator>Carrerette, Fabrício Borges</creator><creator>Damião, Ronaldo</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>20101001</creationdate><title>Lower Urinary Tract Dysfunction and Ultrasound Assessment of Bladder Wall Thickness in Children With Cerebral Palsy</title><author>Silva, José Ailton Fernandes ; Gonsalves, Márcia de Castro Diniz ; Saverio, Andresa Pianta ; Oliveira, Iolanda Correia ; Carrerette, Fabrício Borges ; Damião, Ronaldo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-365a7caa3cb22bfbe509928d7ffa07dc491b93a39f72029825361f753fa00ae93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cerebral Palsy - complications</topic><topic>Cerebral Palsy - pathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Constipation - etiology</topic><topic>Constipation - pathology</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Kidney - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Paraplegia - etiology</topic><topic>Quadriplegia - etiology</topic><topic>Severity of Illness Index</topic><topic>Ultrasonography</topic><topic>Urinary Bladder - diagnostic imaging</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary Tract Infections - diagnostic imaging</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urinary Tract Infections - pathology</topic><topic>Urinary tract. Prostate gland</topic><topic>Urination Disorders - diagnostic imaging</topic><topic>Urination Disorders - etiology</topic><topic>Urination Disorders - pathology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva, José Ailton Fernandes</creatorcontrib><creatorcontrib>Gonsalves, Márcia de Castro Diniz</creatorcontrib><creatorcontrib>Saverio, Andresa Pianta</creatorcontrib><creatorcontrib>Oliveira, Iolanda Correia</creatorcontrib><creatorcontrib>Carrerette, Fabrício Borges</creatorcontrib><creatorcontrib>Damião, Ronaldo</creatorcontrib><collection>Pascal-Francis</collection><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>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva, José Ailton Fernandes</au><au>Gonsalves, Márcia de Castro Diniz</au><au>Saverio, Andresa Pianta</au><au>Oliveira, Iolanda Correia</au><au>Carrerette, Fabrício Borges</au><au>Damião, Ronaldo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lower Urinary Tract Dysfunction and Ultrasound Assessment of Bladder Wall Thickness in Children With Cerebral Palsy</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>76</volume><issue>4</issue><spage>942</spage><epage>945</epage><pages>942-945</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objectives To evaluate lower urinary tract dysfunction (LUTD) based on questionnaire symptom scoring and ultrasound assessment of bladder wall thickness (BWT) in children with cerebral palsy (CP). Methods A total of 97 children with CP were enrolled in the study. The patients were either symptomatic or asymptomatic with respect to lower urinary tract symptoms. All children underwent a urinary questionnaire and renal ultrasonography. Ultrasound assessment of BWT was completed in 72 cases. Results A total of 47 patients were female and 50 were male. The mean age was 8 years 8 months (SD 3 years 1 month), with a range of 5-18 years. Urinary incontinence was present in 43 patients (44.3%). Based on the questionnaire, LUTD was found in 59 patients (60.8%). The mean BWT was 2.30 mm. There was no statistically significant difference between continent and incontinent children (2.46 vs 2.19 mm) or between children with and without LUTD (2.43 vs 2.12 mm). Conclusions LUTD is common in children with CP and occurred in 60.8% of the patients assessed. BWT did not correlate with the presence of bladder dysfunction or incontinence. Ultrasound assessment of BWT was not relevant for diagnosis of lower urinary tract dysfunction.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20579700</pmid><doi>10.1016/j.urology.2010.04.005</doi><tpages>4</tpages></addata></record>
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subjects Adolescent
Biological and medical sciences
Cerebral Palsy - complications
Cerebral Palsy - pathology
Child
Child, Preschool
Constipation - etiology
Constipation - pathology
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Kidney - diagnostic imaging
Male
Medical sciences
Nephrology. Urinary tract diseases
Nervous system (semeiology, syndromes)
Neurology
Paraplegia - etiology
Quadriplegia - etiology
Severity of Illness Index
Ultrasonography
Urinary Bladder - diagnostic imaging
Urinary system involvement in other diseases. Miscellaneous
Urinary Tract Infections - diagnostic imaging
Urinary Tract Infections - etiology
Urinary Tract Infections - pathology
Urinary tract. Prostate gland
Urination Disorders - diagnostic imaging
Urination Disorders - etiology
Urination Disorders - pathology
Urology
title Lower Urinary Tract Dysfunction and Ultrasound Assessment of Bladder Wall Thickness in Children With Cerebral Palsy
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