Unnoticed post‐void residual urine volume in people with moderate to severe intellectual disabilities: prevalence and risk factors

Waal, K.H. de; Tinselboer, B.M.; Evenhuis, Heleen M.; Penning, Corine

doi:10.1111/j.1365-2788.2009.01190.x

Cited by 11 publications

(12 citation statements)

References 17 publications

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“…The presence of more continuous UI in children/teens in our study, as compared to adult subjects in whom intermittent UI was prominent, could be explained by a worse retardation in the acquisition of the micturition control in the early stages of ASD. Interestingly, the observation of a hypoactive bladder with elevated PVR in 3 our adults with severe ID, was in line with previous reports on the association of urinary retention with higher age, profound ID and chronic illness in subjects with special needs …”

Section: Discussionsupporting

confidence: 92%

Bladder and bowel dysfunction, adaptive behaviour and psychiatric profiles in adults affected by autism spectrum disorders

Gubbiotti

Balboni

Bini

et al. 2019

Neurourology and Urodynamics

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Aims: Bladder and bowel dysfunction (BBD) have been recognized in children affected by autism spectrum disorder (ASD), but no consistent information exist in adults with the condition. We evaluated the prevalence of BBD and the impact of psychiatric and behavioural profiles in adults affected by ASD.Methods: Twenty-two adults and 13 children/teens with ASD and a matched group of typically developing subjects (TD) were prospectively studied. Patients and TD subjects underwent the evaluation of urinary incontinence (UI: diurnal, continuous or intermittent), nocturnal enuresis (NE), and bowel disturbances with the 3-day voiding and bowel diary. In addition, assessment of intellectual disability (ID) and psychiatric and adaptive behaviours with the Neuropsychiatric Inventory Scale (NPI) and the Vineland Adaptive Behaviour Scale 2ndEdition (Vineland-II), was performed. Results: In adults, any type of incontinence was observed in 81.8% of cases, and NE and intermittent UI in 59.0% and 36.3% of patients, respectively. Faecal incontinence and constipation were detected 36.3% and in 68.1% of cases, respectively. ID was severe in 2 cases and profound in 18; NPI and Vineland-II items most affected were "Irritability/Lability," "Motor Activity," and "Agitation," and IQ-Socialization and IQ-Communication. Significant relationships were identified between intermittent UI and greater ID (P < .02) and high "anxiety" (P < .05), and between NE and high "euphoria/elevated mood" (P < .05). These results were similar to those observed in children/teens. Conclusions:Adults with ASD, and greater ID and mood disorders, present with a high prevalence of BBD. A shared pathogenetic mechanism could underlie the co-occurrence of ASD, mood disorders, and BBD. K E Y W O R D Sadaptive behaviour, autism spectrum disorders, bladder and bowel dysfunction

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Section: Discussionsupporting

confidence: 92%

Bladder and bowel dysfunction, adaptive behaviour and psychiatric profiles in adults affected by autism spectrum disorders

Gubbiotti

Balboni

Bini

et al. 2019

Neurourology and Urodynamics

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“…All of the studies included both male and female. One study analysed data for people with SPID and SPIMD (De Waal et al ). Table contains the characteristics and risk of bias for each study.…”

Section: Resultsmentioning

confidence: 99%

Physical health issues in adults with severe or profound intellectual and motor disabilities: a systematic review of cross‐sectional studies

Timmeren

Schans

Putten

et al. 2016

J intellect Disabil Res

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“…2 Unrecognized, chronic urinary retention can lead to urinary tract infections, bladder damage, hydronephrosis, and kidney damage/failure. 3 The potential for unrecognized urinary retention may be high in people with DS because of limitations in communication skills. This study aimed to identify the frequency and symptoms of urinary retention in adults with DS, which may provide information to assist in early diagnosis and improve health screening recommendations.…”

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confidence: 99%

Rate of Urinary Retention in Adults With Down Syndrome: A Prospective Study

Chicoine

Sulo

2015

The Journal of the American Board of Family Medicine

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Purpose: Down syndrome (DS) is associated with a higher incidence of many medical conditions, but little information regarding urinary retention exists. We assessed the urinary retention rates in a group of adults with DS and compared the characteristics of patients with and without urinary retention.Methods: A prospective observational study of adults with DS was conducted. Patients were recruited at their regularly scheduled medical appointments. A noninvasive bladder volume instrument, the BladderScan BVI 3000, was used to determine the bladder volume after voiding.Results: We enrolled 66 patients (mean age, 36.6 years). Of these, 6 patients (9%) had urinary retention. Patients with urinary retention were significantly older (46.5 vs 35.6 years old; P ‫؍‬ .022) and had higher rates of urinary frequency (P ‫؍‬ .003) than patients without urinary retention. No other differences were statistically significant. Of the 6 patients with urinary retention, most (83.3%) were men and 45 years of age or older. Urinary frequency was the most common symptom associated with the diagnosis of urinary retention. Conclusions: The reported frequency and symptoms of urinary retention in adults with DS who are older than 45 years of age can be used to guide further clinical evaluation for urinary retention. (J Am Board Fam Med 2015;28:115-117.) Keywords: Down Syndrome, Urinary RetentionThe life expectancy of people with Down syndrome (DS) has increased to 60 years of age.1 With increasing longevity comes an increased risk of health issues; however, clinical guidelines for diagnosing and managing these issues in adults with DS have received little attention. 1In particular, information on the urinary system is quite limited. Anecdotal reports and clinical studies have suggested a potential association between DS and urinary retention.2 Unrecognized, chronic urinary retention can lead to urinary tract infections, bladder damage, hydronephrosis, and kidney damage/failure. 3 The potential for unrecognized urinary retention may be high in people with DS because of limitations in communication skills. This study aimed to identify the frequency and symptoms of urinary retention in adults with DS, which may provide information to assist in early diagnosis and improve health screening recommendations.

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Unnoticed post‐void residual urine volume in people with moderate to severe intellectual disabilities: prevalence and risk factors

Abstract: The bladder ultrasound scan is a feasible method to identify increased PVR in adults with more severe levels of ID. The prevalence of PVR in adults is similar to prevalences found in the geriatric general population.

Cited by 11 publications

References 17 publications

Bladder and bowel dysfunction, adaptive behaviour and psychiatric profiles in adults affected by autism spectrum disorders

Bladder and bowel dysfunction, adaptive behaviour and psychiatric profiles in adults affected by autism spectrum disorders

Physical health issues in adults with severe or profound intellectual and motor disabilities: a systematic review of cross‐sectional studies

Rate of Urinary Retention in Adults With Down Syndrome: A Prospective Study

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