Cross-sectional study of urinary problems in adults with cerebral palsy: awareness and impact on the quality of life

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dc.contributor.authorYildiz, Necmettin
dc.contributor.authorAkkoc, Yesim
dc.contributor.authorErsoz, Murat
dc.contributor.authorGunduz, Berrin
dc.contributor.authorErhan, Belgin
dc.contributor.authorYesil, Hilal
dc.contributor.authorBardak, Ayse Nur
dc.contributor.authorOzdolap, Senay
dc.contributor.authorTunc, Hakan
dc.contributor.authorKoklu, Kurtulus
dc.contributor.authorAlemdaroglu, Ebru
dc.contributor.authorErden, Ender
dc.contributor.authorSungur, Ulas
dc.contributor.authorSatir, Ozlem
dc.contributor.authorErdogan, Cagdas
dc.contributor.authorAlkan, Hakan
dc.date.accessioned2019-10-27T11:07:06Z
dc.date.available2019-10-27T11:07:06Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractWe aimed to assess the functional status, urinary problems, and awareness of these problems in adults with cerebral palsy (CP) and their relationship with the quality of life. One-hundred-seventeen adults with CP (53 women, 64 men) were included in this study. Subjects were asked to fill out a urological questionnaire which dealt with urinary symptoms, awareness of urinary problems, and pharmacological treatment they received. Subjects were also assessed with the Gross Motor Function Classification System (GMFCS), Functional Independence Measures (FIM), Functional Mobility Scale (FMS), and King's Health Questionnaire (KHQ). The mean age of the subjects was 25.3 +/- 7.8 years. Of the patients, 83.8% were currently unemployed, 95.7% were single, and 96.5% were living with family. Of the patients, 20.5% had experienced frequency, 38.5% had nocturia, 48.7% had urgency, and 36.8% had urge urinary incontinence. Approximately 80% of the patients did not refer to physician due to urinary problems, and 60% of patients were not recorded history about urinary problem by any physician. Urge urinary incontinence was statistically more frequent in females than males (54.7 and 21.9%,respectively, p < 0.05). Female patients had significantly higher KHQ incontinence impact, role limitation, physical limitation, emotion, incontinence severity measures, and symptom severity subgroup scores than male patients (p < 0.05). Urge urinary incontinence was most frequent (65.4%) in spastic quadriplegic CP (p < 0.05). All functional status scores (GMFCS, FIM-toilet transfer, and FMSs) were worse in spastic quadriplegic patients than other topographical involvement of CP (p < 0.0125). Although the urinary problems are common in adult with CP, it is yet an overlooked condition that could affect quality of life. Therefore, health care professionals, patients, and their caregivers should be aware of the increased risk of urinary problems in these patients.en_US
dc.identifier.doi10.1007/s10072-017-2948-zen_US
dc.identifier.endpage1203en_US
dc.identifier.issn1590-1874
dc.identifier.issn1590-3478
dc.identifier.issue7en_US
dc.identifier.pmid28389939en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1193en_US
dc.identifier.urihttps://doi.org/10.1007/s10072-017-2948-z
dc.identifier.urihttps://hdl.handle.net/11454/31975
dc.identifier.volume38en_US
dc.identifier.wosWOS:000404610500005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Italia Srlen_US
dc.relation.ispartofNeurological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUrinary problemsen_US
dc.subjectCerebral palsyen_US
dc.subjectFunctional statusen_US
dc.subjectQuality of lifeen_US
dc.titleCross-sectional study of urinary problems in adults with cerebral palsy: awareness and impact on the quality of lifeen_US
dc.typeArticleen_US

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