Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

ICCS S5-9

(P)

URINARY INCONTINENCE AND LOWER URINARY TRACT SYMPTOMS IN

CHILDREN WITH CEREBRAL PALSY: A SYSTEMATIC REVIEW

Bieke SAMIJN

, Christine VANDEN BROECK

and Erik VAN LAECKE

1) University Ghent, Uro-gynaecology - Rehabilitation Sciences and Physiotherapy, Ghent, BELGIUM - 2) University

Ghent, Rehabilitation Sciences and Physiotherapy, Ghent, BELGIUM - 3) University Ghent, Uro-gynaecology, Ghent,

BELGIUM

PURPOSE

The purpose of this review is to investigate studies concerning the influence of cerebral palsy (CP) on the development

of bladder control. Prevalence of urinary incontinence in children with CP can underline the need for specific treatment.

MATERIAL AND METHODS

A systematic literature search was conducted in Pubmed, Web of Science and CINAHL using different keyword

combinations. Once identified, trial quality was assessed, data were extracted and results were expressed. The

systematic review was composed following the PRISMA statement guidelines (Liberati et al. BMJ 2009).

RESULTS

Prevalence of incontinence is more common in children with GMFCS-classification III-V and a low IQ. Motor and mental

disability are therefore important factors influencing bladder control. Spasticity is more frequently associated with

urinary incontinence. Concerning localization of motor disability, children with quadriplegic CP show a higher incidence of

urinary incontinence.

CONCLUSIONS

Urinary incontinence is significantly more common in children with CP in comparison with healthy children. This

incidence indicates the need for individually designed treatment.