scholarly journals Urological Disturbances in Children with Cerebral Palsy : Short Review

2018 ◽  
Vol 1 (1) ◽  
pp. 63-66
Author(s):  
Marcelo De Sousa Tavares

Background: Cerebral palsy is the most common motor disability in childhood. Among the comorbidities associated with this condition are lower urinary tract symptoms and urinary tract infections. Objective: The present review is aimed to the general pediatrician to adequate fulfill his/her needs regarding a proper understanding of the urinary tract functioning of children with cerebral palsy and which urodynamical findings are expected. Conclusion: lower urinary tract dysfunction is associated with cerebral palsy and should be promptly recognized. Non-invasive methods, such as ultrasonography and uroflowmetry do not correlate with clinical complaints in these patients. Children with detrusor-sphincter dyssinergia are more prone to upper urinary tract deterioration in adulthood when not recognized and properly treated. The main objective of adequate treatment of these patients is to reduce morbidity and to improve quality of life of them as well as their families.

2009 ◽  
Vol 28 (8) ◽  
pp. 959-963 ◽  
Author(s):  
José Ailton Fernandes Silva ◽  
Ronaldo Alvarenga Alvares ◽  
André Luis Barboza ◽  
Raphael Temporão Maciel Monteiro

Urology ◽  
2010 ◽  
Vol 76 (4) ◽  
pp. 942-945 ◽  
Author(s):  
José Ailton Fernandes Silva ◽  
Márcia de Castro Diniz Gonsalves ◽  
Andresa Pianta Saverio ◽  
Iolanda Correia Oliveira ◽  
Fabrício Borges Carrerette ◽  
...  

2016 ◽  
Vol 195 (4 Part 1) ◽  
pp. 1009-1013 ◽  
Author(s):  
Robert A. Goldfarb ◽  
Andrew Pisansky ◽  
Joseph Fleck ◽  
Patrick Hoversten ◽  
Katherine J. Cotter ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Michael Kennelly ◽  
Nikesh Thiruchelvam ◽  
Márcio Augusto Averbeck ◽  
Charalampos Konstatinidis ◽  
Emmanuel Chartier-Kastler ◽  
...  

A risk factor model for urinary tract infections in patients with adult neurogenic lower urinary tract dysfunction performing clean intermittent catheterisation was developed; it consists of four domains, namely, (1) general (systemic) conditions in the patient, (2) individual urinary tract conditions in the patient, (3) routine aspects related to the patient, and (4) factors related to intermittent catheters per se. The conceptual model primarily concerns patients with spinal cord injury, spina bifida, multiple sclerosis, or cauda equina where intermittent catheterisation is a normal part of the bladder management. On basis of several literature searches and author consensus in case of lacking evidence, the model intends to provide an overview of the risk factors involved in urinary tract infections, with specific emphasis to describe those that in daily practice can be handled and modified by the clinician and so come to the benefit of the individual catheter user in terms of fewer urinary tract infections.


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