Urological Disturbances in Children with Cerebral Palsy : Short Review
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.