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Introduction/Background The objective is to describe lower urinary tract and anorectal disorders in children with cerebral palsy (CP) and evaluate their impact on quality of life (QoL). Material and method Ten months monocentric prospective study about 5 to 17 years old children with CP. Datas collected were: CP type, GMFCS level, Wee-FIM, MACS level, voiding and defecation diary, standard questionnaire, Akbal questionnaire, WPPSI-3 or WISC-4, parents and children Kidscreen-52 scale. Results Between October 2014 and July 2015, 24 children from 5 to 17 years old were included. Twenty-three children (89%) had lower urinary tract dysfunction. Twenty-one from those 23 were in normal school. Six had a pollakiuria, 5 a nycturia, 20 an urgenturia [in which 11 had urinary incontinence (UI)], 9 a dysuria, 2 a urinary infection, 12 a UI (6 day and night UI, others only day UI). Seven children going in normal school had a fecal incontinence (3 day and night, others only day). Urinary incontinent children Wee-FIM scores were lower than non-urinary incontinent ones (P = 0.007). Seven children with a low GMFCS level and going in normal school had an impact of their lower urinary tract disorders on their QoL. All had an overactive bladder syndrome, 3 a dysuria, 2 a nycturia, 1 a pollakiuria. Kidscreen-52 QoL score estimated by children with UI were significantly different than non-urinary incontinent ones (P = 0.0264). Conclusion This study shows the importance of lower urinary tract and anorectal disorders impact on children with CP QoL. Most of those children are in normal school. Detection is not systematic enough during follow-up consultations and parents often underestimate those troubles. Questioning and flow measurement seem to be important first steps to detect them. |
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