NDLI: Uroflowmetry in the management of lower urinary tract symptoms of children and adolescents with cerebral palsy.

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Uroflowmetry in the management of lower urinary tract symptoms of children and adolescents with cerebral palsy.

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Uroflowmetry in the management of lower urinary tract symptoms of children and adolescents with cerebral palsy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Fernandes Silva, J. A. Borges Carrerette, F. Damião, R.
Description	Author Affiliation: Fernandes Silva JA ( Division of Urology, Pedro Ernesto Memorial Hospital, State University of Rio de Janeiro, Boulevard Vinte e Oito de Setembro, 77 - Vila Isabel, Rio de Janeiro 55-20551-030, Brazil. Electronic address: urocentre@hotmail.com.); Borges Carrerette F ( Division of Urology, Pedro Ernesto Memorial Hospital, State University of Rio de Janeiro, Boulevard Vinte e Oito de Setembro, 77 - Vila Isabel, Rio de Janeiro 55-20551-030, Brazil.); Damião R ( Division of Urology, Pedro Ernesto Memorial Hospital, State University of Rio de Janeiro, Boulevard Vinte e Oito de Setembro, 77 - Vila Isabel, Rio de Janeiro 55-20551-030, Brazil.)
Abstract	OBJECTIVE: To evaluate uroflow measurements in the initial management of lower urinary tract dysfunction in children and adolescents with cerebral palsy. MATERIALS AND METHODS: A total of 54 patients was enrolled in this study. All patients reported their urinary symptoms and underwent a physical examination, renal and urinary tract ultrasonography, and uroflow assessment. RESULTS: Twenty-three patients were female. Mean age was 9 years and 6 months (SD: 2 years and 10 months), with a range of 5-18 years. Twenty-eight of the patients (51.8%) were symptomatic. Urgency (42.6%), urge incontinence (40.7%), and enuresis (16.7%) were the most frequently observed symptoms. No association was found between gender, ambulatory status, or distribution of the paralysis and uroflow parameters. Symptomatic patients presented a statistically lower maximum flow (Qmax) than asymptomatic patients (17.2 ± 7.8 ml/s vs 22.6 ± 7.5 ml/s, p = 0.013, respectively). Normal bell-shaped curves were observed more frequently in asymptomatic patients, while abnormal curves were observed more frequently in symptomatic patients (p = 0.022). CONCLUSIONS: Gender, ambulatory status, and the distribution of the paralysis do not affect Qmax rate or flow pattern. Symptomatic patients present lower Qmax and may also have an abnormal uroflow curve. Uroflowmetry may be useful in the initial urological evaluation.
File Format	HTM / HTML
ISSN	14775131
Issue Number	3
Volume Number	10
e-ISSN	18734898
Journal	Journal of Pediatric Urology
Language	English
Publisher	Elsevier
Publisher Date	2014-06-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Urology Discipline Pediatrics Cerebral Palsy Complications Lower Urinary Tract Symptoms Physiopathology Rheology Methods Urodynamics Physiology Adolescent Child Child, Preschool Female Follow-up Studies Humans Diagnosis Etiology Male Reproducibility Of Results Retrospective Studies Ultrasonography Urinary Bladder Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Urology Pediatrics, Perinatology and Child Health

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