[Urination disorders and neurological disease except for o obvious medullary pathology: perinatal brain lesions with mental handicap].
Children with mental retardation often present urinary incontinence because they are unable to control micturition. Constipation and/or encopresis are often associated. Careful assessment of the upper urinary tract and renal function is indicated. Urinary infections are frequent, however, bladder dysfunction complications of the upper urinary tract are uncommon. The cause of wetting could be explained by urodynamic findings: small capacity bladder with uninhibited contractions, hypertonic sphincter, or incomplete emptying secondary to detrusor-sphincter dyssynergia. Treatment of urinary incontinence should be adapted to the type of incontinence and be apart of the global training.
Gautheron
V
V
Service de médecine physique et de réadaptation, hôpital Bellevue, Saint-Etienne, France.
D000293:Adolescent; D000328:Adult; D002648:Child; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D008297:Male; D001743:Urinary Bladder / Q000503:physiopathology; D014549:Urinary Incontinence / Q000150:complications* / Q000503:physiopathology; D014563:Urodynamics