Back to Search
Start Over
Dysfunctional elimination syndromes--how closely linked are constipation and encopresis with specific lower urinary tract conditions?
- Source :
-
The Journal of urology [J Urol] 2013 Sep; Vol. 190 (3), pp. 1015-20. Date of Electronic Publication: 2013 Mar 29. - Publication Year :
- 2013
-
Abstract
- Purpose: It is recognized that there is a strong association between bladder and bowel dysfunction. We determined the association of constipation and/or encopresis with specific lower urinary tract conditions.<br />Materials and Methods: We reviewed our database of children with lower urinary tract dysfunction and divided cases into 3 categories of bowel dysfunction (constipation, encopresis and constipation plus encopresis) and 4 lower urinary tract conditions (dysfunctional voiding, idiopathic detrusor overactivity disorder, detrusor underutilization disorder and primary bladder neck dysfunction). Associations between bowel dysfunction types and each lower urinary tract condition were determined.<br />Results: Of 163 males and 205 females with a mean age of 8.5 years constipation was the most common bowel dysfunction (27%). Although encopresis is generally thought to reflect underlying constipation, only half of children with encopresis in this series had constipation. Dysfunctional voiding was associated with the highest incidence of bowel dysfunction. All but 1 patient with encopresis had associated urgency and detrusor overactivity, and the encopresis resolved in 75% of patients after initiation of anticholinergic therapy. Constipation was significantly more common in girls (27%) than in boys (11%, p <0.01), while encopresis was more common in boys (9%) than in girls (3%, p = 0.02), likely reflecting the higher incidence of dysfunctional voiding in girls and idiopathic detrusor overactivity disorder in boys.<br />Conclusions: Active bowel dysfunction was seen in half of the children with a lower urinary tract condition. Constipation was more common in patients with dysfunctional voiding, while encopresis was significantly increased in those with idiopathic detrusor overactivity disorder and in those with dysfunctional voiding, severe urgency and detrusor overactivity. Anticholinergics, despite their constipating effect, given for treatment of detrusor overactivity resolved encopresis in most children with this bowel dysfunction.<br /> (Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Age Distribution
Child
Child, Preschool
Cohort Studies
Comorbidity
Constipation physiopathology
Databases, Factual
Electromyography methods
Encopresis physiopathology
Female
Humans
Incidence
Lower Urinary Tract Symptoms physiopathology
Male
Prognosis
Quality of Life
Retrospective Studies
Severity of Illness Index
Sex Distribution
Syndrome
Urinary Bladder Neck Obstruction epidemiology
Urinary Bladder Neck Obstruction physiopathology
Urinary Bladder, Overactive epidemiology
Urinary Bladder, Overactive physiopathology
Urinary Tract Infections epidemiology
Urinary Tract Infections physiopathology
Constipation epidemiology
Encopresis epidemiology
Lower Urinary Tract Symptoms epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1527-3792
- Volume :
- 190
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The Journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 23545098
- Full Text :
- https://doi.org/10.1016/j.juro.2013.03.111