Bladder and bowel dysfunction and the resolution of urinary incontinence with successful management of bowel symptoms in children

Abstract

The empirical treatment approach of managing bowel symptoms before intervening for bladder dysfunction in children with BBD is found to be appropriate.

A systematic review of the prevalence and impact of urinary incontinence in cystic fibrosis

“…In the general population, UI is often associated with constipation or other bowel problems . Less than half of the papers reviewed here explored this association.…”

“…Several mechanisms may contribute to UI in patients with CF. The principal pathophysiology of UI in CF is felt to be stress incontinence, the involuntary leakage of urine at times of increased intra‐abdominal pressure . Additionally, UI is often associated with an overactive bladder or detrusor overactivity, resulting in symptoms of urgency and urge incontinence.…”

Primary nocturnal enuresis: Assessment and treatment at a single referral center

“…Also, it is likely that, in Abu Dhabi, the large intake of dry, low‐fiber foods such as rice, banana and lemon, along with the hot weather most of the year, and the stress of living in a chaotic city, negatively affect the incidence of fecal retention and, so far, of NE. We agree that the treatment approach to bowel symptoms in a pediatric population with bowel and bladder dysfunction is considered appropriate: early diagnosis and treatment of constipation not only improve enuresis, but also reduce the possibility of untreated constipation leading to treatment‐refractory enuresis . On this basis, we generally treat constipation from the start of therapy.…”

Encopresis in Children: An Overview of Recent Findings

“…Biofeedback training has no additional effect in these groups of children (45). Successful treatment of children with FNRFI leads to improvements in most patients, which suggests that these children should be treated primarily in paediatric rather than psychiatric clinics and consulting rooms (46). The course of treatment is lengthy, symptoms often persist for a long time and relapses are possible.…”