Constipation in children with isolated overactive bladders

Veiga, M.L.; Lordêlo, Patrícia; Farias, Tiago; Barroso, Clara; Bonfim, Josemeire; Barroso, Ubirajara

doi:10.1016/j.jpurol.2013.01.013

Cited by 22 publications

(15 citation statements)

References 30 publications

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“…Recently, Veiga et al ( 8 ) demonstrated that constipation is associated not only with dysfunctional urination but also overactive bladder (OAB). In this study, 54.9% of children with OAB had constipation, in addition to being almost three times more likely to develop constipation than children without OAB.…”

Section: Introductionmentioning

confidence: 99%

Constipation and Lower Urinary Tract Dysfunction in Children and Adolescents: A Population-Based Study

et al. 2016

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ObjectiveTo evaluate the correlation between constipation and lower urinary tract dysfunction (LUTD) and nocturnal enuresis in a population-based study.Material and methodsThis is a cross-sectional study. The criteria for inclusion were children and adolescents of between 5 and 17 years and who agreed to sign the informed consent form. The study excluded students with neurological problems or who had documented abnormalities of the urinary tract. To identify the presence and severity of LUTD, we used the Voiding Dysfunction Symptom Score (DVSS). To evaluate the presence of constipation, Rome III questionnaire was used.ResultsWe interviewed 829 children and adolescents, of which 416 (50.18%) were male. The mean (SD) age was 9.1 (±2.9) years. The overall prevalence of LUTD was 9.1%, predominantly in girls (15 versus 3.1%, p < 0.001). Constipation was found in 9.4% of boys and 12.4% of girls (p = 0.169). Constipated children were 6.8 times more likely to have LUTD than those not constipated (p < 0.001, coefficient and correlation of 0.411). Constipation was found in 8.2% of children without LUTD and in 35.2% of children with LUTD. We performed multivariate analysis to identify urinary symptoms that are independent predictors of the presence of constipation. The presence of infrequent urination (p = 0.004) and holding maneuvers (p < 0.001) were independent predictors. It was noted also noted that constipated children, according to the Rome III criteria, possess a worse DVSS (p < 0.001). Regarding the presence of nocturnal enuresis, 12.6% of children and adolescents had constipation in association with this symptom. However, this relationship was not statistically significant (p = 0.483).ConclusionConstipated children were 6.8 times more likely to have LUTD than those not constipated. Among the urinary symptoms, infrequent voiding and holding maneuvers are independent factors of urinary expressions in constipated children. Children with more severe constipation have more prominent urinary symptoms. The presence of enuresis was not associated with constipation.

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Section: Introductionmentioning

confidence: 99%

Constipation and Lower Urinary Tract Dysfunction in Children and Adolescents: A Population-Based Study

et al. 2016

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“…The urinary system can also be rarely affected due to the local pelvic mass effect. In the urinary system, urinary tract infection, hydronephrosis, and even bladder rupture may develop due to compression of the hard fecaloid onto the bladder [5]. The most common level of obstruction is the urethra or urethral-vesical junction.…”

Section: Discussionmentioning

confidence: 99%

Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review

Özlü

Şeker

et al. 2020

Cureus

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An 88-year-old woman presented to the emergency department with abdominal distention, fever, and constipation of about a week's duration. Laboratory tests showed impaired kidney function tests and fluid electrolyte values. Bilateral hydroureteronephrosis was observed on non-contrasted abdominal CT. Imaging revealed no intrinsic urological pathology (ureteral stones, etc.) that could lead to obstruction in the urinary system; however, excessively dilated and feces-loaded rectum and colon were observed. The patient was treated with conservative methods. Unfortunately, she passed away due to general condition disorder.

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“…Many previous studies have reported an association between OAB and constipation or fecal retention in childhood . van Dijk et al reported that bladder and bowel dysfunctions might be induced by the same pathophysiologic mechanism of supraspinal neurophysiological immaturity .…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, another study reported that the treatment of constipation could only help improve voiding symptoms in patients with OAB . However, the assessment of fecal retention during childhood may be difficult due to an unreliable history or distressing procedures such as rectal examination after defecation, rectal manometry, rectal barostat, and anal sphincter electromyography; however, these procedures could be distressing in children …”

Section: Discussionmentioning

confidence: 99%

Treatment of fecal retention is important in the management of overactive bladder in children

Choi

Seo

Lee

et al. 2016

Neurourology and Urodynamics

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Constipation in children with isolated overactive bladders

Cited by 22 publications

References 30 publications

Constipation and Lower Urinary Tract Dysfunction in Children and Adolescents: A Population-Based Study

Constipation and Lower Urinary Tract Dysfunction in Children and Adolescents: A Population-Based Study

Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review

Treatment of fecal retention is important in the management of overactive bladder in children

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