Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status

DELİALİOĞLU, Ünsal Sibel; TUNÇ, Hakan; OZEL, SUMRU; kurt, murat; ÇULHA, Canan; Atan, Ali

Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status

Ünsal Sibel DELİALİOĞLU, (Ankara Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye)

Canan ÇULHA, (Ankara Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye)

Hakan TUNÇ, (Ankara Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye)

Murat KURT, (Ankara Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye)

Sumru ÖZEL, (Ankara Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye)

Ali ATAN (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2009 Cilt: 39 Sayı: 4 Sayfa Aralığı: 571 - 578 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status

Öz:

Amaç: Çalışmanın amacı serebral palsili (SP) çocuklarda alt üriner system semptomlarını değerlendirmek, mesane tipini belirlemek ve mesane tipinin SP’nin şiddeti ve SP’li çocuğun mental durumu ile ilişkisini ortaya koymaktır. Hastalar ve Yöntemler: 41 SP’li çocuk çalışmaya alındı. Olgular öncelikle alt üriner system semptomları yönünden sorgulandı. 41 olguya ürodinamik inceleme yapıldı. SP’nin şiddeti Kaba Motor Fonksiyonel Sınıflama Sistemi (KMFKS) ile değerlendirildi. Olguların zeka bölümünü değerlendirmede Stanford- Binet Zeka Skalası kullanıldı. Ürodinamik incelemeden sonra olgular mesane tipine göre aşırı aktif nörojenik detrüsor (AAND) ve normal mesane (NM) olarak iki gruba ayrıldı.Bulgular: Olguların % 78’inde bir ya da daha fazla alt üriner sistem semptomu saptandı. 30 (% 73,2) olguda AAND ve 11 (% 26,8) olguda NM saptandı. AAND ve NM grupları arasında zeka bölümü açısından istatistiksel olarak anlamlı olabilecek fark saptanırken KMFKS dağılımları açısından fark saptanmadı. Sonuç: SP populasyonunda alt üriner sistem semptomları ve nörojenik mesane insidansı yüksektir. Serebral lezyona bağlı olarak zeka bölümü, mesane fonksiyonları ve mobilite gibi çeşitli faktörler üriner disfonksiyona neden olabilir.

Anahtar Kelime: Özürlülük değerlendirmesi Mesane, nörojenik Beyin felci Hastalık ciddiyet indeksi Çocuk Mesane, aşırı aktif Ürodinamik

Konular: Cerrahi

Serebral palsili çocuklarda alt üriner sistem semptomlarının ve nörojenik mesanenin değerlendirilmesi: Serebral palsinin şiddeti ve çocuğun mental durumu ile ilişkisi

Öz:

Aim: This study aimed to evaluate lower urinary system symptoms, to determine bladder type in children with cerebral palsy (CP), and to determine the relationship between bladder type, and the severity of CP and mental status of the children.Materials and Methods: The study included 41 children with CP. Subjects were first asked to provide information concerning lower urinary system symptoms. Urodynamic examination was performed in 41 children with CP. The severity of CP was determined according to the Gross Motor Functional Classification System (GMFCS). The Stanford-Binet Intelligence Scale was used to determine intelligence quotients (IQ). After urodynamic examination, subjects were divided into 2 groups based on bladder type: neurogenic detrusor overactivity (NDO) and normal bladder (NB) groups.Results: One or more lower urinary system symptoms were observed in 78% of the subjects. NDO was observed in 30 subjects (73.2%), while NB was observed in 11 (26.8%), based on urodynamic study. While there was an almost statistically significant difference in terms of IQ scores (P = 0.053) between the NDO and NB groups, there was not a statistical difference in terms of GMFCS distribution.Conclusion: The incidences of urinary system symptoms and neurogenic bladder are high in the CP population. Multiple factors, such as the effects on IQ, bladder functions, and mobility caused by cerebral lesions, may cause urinary dysfunction.

Anahtar Kelime: Child Urinary Bladder, Overactive Urodynamics Disability Evaluation Urinary Bladder, Neurogenic Cerebral Palsy Severity of Illness Index

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	DELİALİOĞLU Ü, ÇULHA C, TUNÇ H, kurt m, OZEL S, Atan A (2009). Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. , 571 - 578.
Chicago	DELİALİOĞLU Ünsal Sibel,ÇULHA Canan,TUNÇ Hakan,kurt murat,OZEL SUMRU,Atan Ali Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. (2009): 571 - 578.
MLA	DELİALİOĞLU Ünsal Sibel,ÇULHA Canan,TUNÇ Hakan,kurt murat,OZEL SUMRU,Atan Ali Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. , 2009, ss.571 - 578.
AMA	DELİALİOĞLU Ü,ÇULHA C,TUNÇ H,kurt m,OZEL S,Atan A Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. . 2009; 571 - 578.
Vancouver	DELİALİOĞLU Ü,ÇULHA C,TUNÇ H,kurt m,OZEL S,Atan A Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. . 2009; 571 - 578.
IEEE	DELİALİOĞLU Ü,ÇULHA C,TUNÇ H,kurt m,OZEL S,Atan A "Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status." , ss.571 - 578, 2009.
ISNAD	DELİALİOĞLU, Ünsal Sibel vd. "Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status". (2009), 571-578.

APA	DELİALİOĞLU Ü, ÇULHA C, TUNÇ H, kurt m, OZEL S, Atan A (2009). Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. Turkish Journal of Medical Sciences, 39(4), 571 - 578.
Chicago	DELİALİOĞLU Ünsal Sibel,ÇULHA Canan,TUNÇ Hakan,kurt murat,OZEL SUMRU,Atan Ali Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. Turkish Journal of Medical Sciences 39, no.4 (2009): 571 - 578.
MLA	DELİALİOĞLU Ünsal Sibel,ÇULHA Canan,TUNÇ Hakan,kurt murat,OZEL SUMRU,Atan Ali Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. Turkish Journal of Medical Sciences, vol.39, no.4, 2009, ss.571 - 578.
AMA	DELİALİOĞLU Ü,ÇULHA C,TUNÇ H,kurt m,OZEL S,Atan A Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. Turkish Journal of Medical Sciences. 2009; 39(4): 571 - 578.
Vancouver	DELİALİOĞLU Ü,ÇULHA C,TUNÇ H,kurt m,OZEL S,Atan A Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status. Turkish Journal of Medical Sciences. 2009; 39(4): 571 - 578.
IEEE	DELİALİOĞLU Ü,ÇULHA C,TUNÇ H,kurt m,OZEL S,Atan A "Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status." Turkish Journal of Medical Sciences, 39, ss.571 - 578, 2009.
ISNAD	DELİALİOĞLU, Ünsal Sibel vd. "Evaluation of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: Relationships with the severity of cerebral palsy and mental status". Turkish Journal of Medical Sciences 39/4 (2009), 571-578.