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Incontinence

CP question-bladder control

03/11/2003

Question:

Hi, I`m a special education teacher and I have an 18 year old student who has Cerebral Palsy. She has a tetraplegic condition and uses an electric wheelchair to mobilize. Can people with CP feel the sensation when they need to urinate? The student stated that her dad did not teach her that. (Sometimes she will ask to use the restroom and then not urinate.) She has never wet herself at school and I don`t think she gets nervous when she goes to the bathroom.

Answer:

There is much variability in bladder function in patients with cerebral palsy related both to abilty to empty and sensation. One can be tested and I suggest the student see a urologist who can then perform the appropriate studies to assess bladder function and then develop a treatment program. I hope this information is helpful to you.

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Response by:

Martin I Resnick, MD Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University