Article

The aim of this study was noninvasive evaluation of voiding function
in children with cerebral palsy. DESIGN: Sixty children with cerebral palsy were
enrolled in the study. Urinary system symptoms were recorded. Uroflowmetric tests
were carried out, and postvoid residual volume was measured immediately after
voiding by using a portable ultrasonic device developed for children. The
expected age-related bladder capacity was calculated and compared with the
observed bladder capacity. Uroflowmetric curves were evaluated and classified as
normal (bell-shaped) and abnormal. RESULTS: Thirty-three of the children (55%)
were symptomatic. In 17 (28.3%) of the children, postvoid residual urine was
observed. There was a statistically significant difference between the expected
bladder capacity (271.6 +/- 38.3 ml) and the observed bladder capacity (154.5 +/-
111.8 ml) (P < 0.001). Observed bladder capacity was lower than the expected
bladder capacity in 56 (93.3%) of the children. In the evaluation of the
uroflowmetric charts, 22 (36.7%) children had abnormal curves. CONCLUSIONS:
Bladder capacity is decreased in most children with cerebral palsy, and postvoid
residue is present in an important proportion. Uroflowmetry and portable
ultrasonic device combination is a noninvasive, well-tolerated, and efficient
method in the first line evaluation of lower urinary tract function in children with cerebral palsy.

Langue : ANGLAIS