Study of urinary disorders in a cohort of 94 adult patients with cerebral palsy

• Published in: Annals of physical and rehabilitation medicine 2015-09, Vol.58, p.e122-e122
• Main Authors: Lambert, V., Dr, Game, X., Prof, De Boissezon, X., Prof, Braley-Berthoumieux, E., Dr, Bourg, V., Dr, Marque, P., Prof, Castel-Lacanal, E., Dr
• Format: Article
• Language: English
• Subjects: Cerebral palsy; Internal Medicine; Neurologic bladder; Physical Medicine and Rehabilitation; Urinary disorders
• ISSN: 1877-0657; 1877-0665
• DOI: 10.1016/j.rehab.2015.07.294

Objectives Urinary disorders in adults patients with cerebral palsy (CP) are not well known. We described them from our cohort of adult CP patients followed in our unit of Physical Medicine and Rehabilitation. Material and methods This a retrospective study from 94 patients, describing urinary symptoms, complications and urodynamic datas. Results Ninety-four patients were included, 52 men (55%), mean age 33.5 ± 12 years, mean motor level GMFCS 4, 35 (37%) living in institution. Fixty-six patients (60%) had urinary symptoms (17 storage symptoms, 8 voiding symptoms, 31 both storage and voiding symptoms), and had a worse motor level than the asymptomatic patients (GMFCS 4 versus GMFC 3, P < 0.001). Forty-two patients (45%) had one or several urinary complications: 20 (21%) urinary infection, 18 (19%) renal failure, 17 (18%) ureteral or renal morphological damages. Urinary complications were diagnosed in 3 asymptomatic patients. Thirty-one patients had urodynamic examination, in which overactive urethral sphincter was the most frequent abnormalitie found in 24 patients. Discussion The UD in CP patients are not rare, they can be responsible from complciations. They require systematic screening and appropriate treatment.