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Bladder and bowel dysfunction and the resolution of urinary incontinence with successful management of bowel symptoms in children
Author(s) -
Borch Luise,
Hagstroem Søren,
Bower Wendy F,
Siggaard Rittig Charlotte,
Rittig Søren
Publication year - 2013
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12158
Subject(s) - enuresis , medicine , constipation , defecation , urinary incontinence , urinary system , fecal incontinence , urology , regimen , outpatient clinic , medical record , surgery
Aim To investigate the effect of treating defecation problems on urinary incontinence in children suffering from combined urinary bladder and bowel dysfunction ( BBD ). Methods 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. Results 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. Conclusion The empirical treatment approach of managing bowel symptoms before intervening for bladder dysfunction in children with BBD is found to be appropriate.