Abstract
To investigate the effect of treating defecation problems on urinary incontinence in children suffering from combined urinary bladder and bowel dysfunction (BBD). We established a clinical database from medical records of all children referred to the urinary incontinence and gastroenterology outpatient clinics with BBD. The following variables were extracted: symptoms of constipation, faecal incontinence, urinary incontinence, age at onset of symptoms, treatment, including duration and response. All children went through the same treatment protocol. Faecal disorders were treated primarily and once relieved, the daytime incontinence was managed and followed by intervention for nocturnal enuresis. In total, 73 children were included in the study. The treatment regimen resulted in resolution of the defecation disorder in 96% of the patients. Of the children with daytime urinary incontinence, 68% had at least a 50% reduction in number of daytime incontinence episodes by successful relief of bowel dysfunction and 27% became completely continent during daytime. Only 17% of the children suffering from enuresis had a significant reduction in number of wet nights after relief of their faecal problem. The empirical treatment approach of ...Continue Reading
References
Aug 1, 1997·Pediatrics·V Loening-Baucke
Jun 19, 2001·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·K NysomK F Michaelsen
Sep 23, 2003·The Journal of Urology·Brad A EricksonMargaret A Boyt
May 1, 2004·The Journal of Urology·J W ChaseW F Bower
May 9, 2006·Gastroenterology·Andrée RasquinLynn S Walker
Jun 7, 2006·The Journal of Urology·Tryggve NevéusJens Christian Djurhuus
Nov 23, 2006·Urology·Abdol-Mohammad KajbafzadehFarideh Nejat
Feb 3, 2007·Neurourology and Urodynamics·Stefan De WachterJean Jacques Wyndaele
Dec 20, 2007·Neurourology and Urodynamics·Derek Griffiths, Stasa D Tadic
Jul 9, 2008·Scandinavian Journal of Urology and Nephrology·Søren HagstroemJens Christian Djurhuus
Oct 25, 2008·Journal of Pediatric Urology·Erim ErdemPaul J Feustel
Nov 20, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Wendy F Bower
Aug 22, 2009·The Journal of Urology·Iben Moeller JoenssonJens Christian Djurhuus
Dec 22, 2009·The Journal of Urology·P HoebekeS Yang
Jan 27, 2011·Neurourology and Urodynamics·D C PanayiR Fernando
Apr 27, 2011·Current Opinion in Urology·Israel Franco
Citations
Apr 15, 2014·Journal of Pediatric Urology·M EquitA von Gontard
Dec 15, 2015·Journal of Pediatric Urology·I J N KoppenM A Benninga
May 15, 2013·The Journal of Urology·Cortney Wolfe-ChristensenYegappan Lakshmanan
May 4, 2016·European Journal of Pediatrics·L DosscheC Van Herzeele
May 24, 2016·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·L AmbartsumyanS Nurko
Apr 18, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Salvatore Arena, Mario Patricolo
Aug 30, 2016·The Journal of Urology·Luis H BragaArmando J Lorenzo
May 31, 2020·European Journal of Pediatrics·Serdar TekgulHasan Serkan Dogan
Feb 26, 2016·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Simone Nascimento FagundesVera H Koch
Aug 14, 2019·Frontiers in Pediatrics·Mirgon FuentesUbirajara Barroso
Jul 19, 2017·Respirology : Official Journal of the Asian Pacific Society of Respirology·Katherine B FraymanSusan M Sawyer
Feb 19, 2017·Current Urology Reports·Angela M Arlen
Mar 16, 2021·Pediatric Quality & Safety·Martha PokarowskiJoana Dos Santos
May 8, 2021·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Hannah K MattheusAlexander von Gontard
Dec 29, 2017·Pediatrics·Thomas W GaitherHillary L Copp