Does selective dorsal rhizotomy improve bladder function in children with cerebral palsy?

Abstract

Selective dorsal rhizotomy significantly improved urgency, frequency, incontinence, and urodynamic bladder capacity at first incontinence in a significant proportion of spastic cerebral palsy children.

Lower urinary tract symptoms and urodynamic findings in children and adults with cerebral palsy: A systematic review

“…Voiding symptoms are less prevalent than storage symptoms . Prevalence rate of hesitancy varies between 2% and 51.5%, with an average of 24%.…”

“…Study population consisted of children and adults with CP. Eighteen studies gave specific information on children aged 18 years or younger 6,7,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] and four studies on adults aged 18 years or older. 22,[28][29][30] Five articles included only subjects with a history of LUTS.…”

“…20,31,36 Twenty-four studies reported storage symptoms, whereas only eight studies reported voiding symptoms. 6,13,14,21,29,31,32,36 Urodynamic findings were obtained through invasive urodynamic measurements in 15 articles. 6,7,[13][14][15][19][20][21][22]24,31,32,[34][35][36] Three articles used noninvasive uroflowmetry.…”

“…Three studies were rated as an intervention study. 7,13,20 None of these articles had a control group.…”

“…29 Voiding symptoms are less prevalent than storage symptoms. 6,13,14,21,29,31,32,36 Prevalence rate of hesitancy varies between 2% and 51.5%, with an average of 24%. Excluding studies with only adults, children show a lower prevalence rate of 16.5%.…”