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Retrospective evaluation of early risk factors in children with different types of micturition disorders
Author(s) -
Berk Klaudia,
Powirtowska Malgorzata,
Blahuszewska Adrianna,
KorzenieckaKozerska Agata
Publication year - 2019
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.14659
Subject(s) - medicine , enuresis , urination , urinary incontinence , pediatrics , etiology , family history , constipation , urodynamic testing , vesicoureteral reflux , urinary system , urology , disease , reflux
Aim The aetiology of micturition disorders in children is multifactorial and still unclear. The perinatal factors may play a role in the development of children's urinary incontinence. We compared each type of micturition disorders in terms of length of gestation, birthweight, family history of bedwetting and delivery type. Methods Data were from 488 patients of the Department of Pediatrics and Nephrology, Children's Clinical Hospital of the Medical University of Bialystok, and included: age, sex, clinical diagnosis, perinatal history, constipation, history of vesicoureteral reflux, family history of nocturnal enuresis, urodynamic diagnosis, bladder capacity. We performed statistical analysis using Mann–Whitney and Spearman tests. Results Combined daytime‐nocturnal incontinence made a higher percentage and nocturnal enuresis made a lower percentage of clinical diagnoses in children with low birthweight compared with group of normal birthweight. In children with micturition disorders, lower birthweight was associated with smaller bladder capacity than normal for age. Conclusion Low birthweight might predispose to combined daytime‐nocturnal incontinence. We are the first to show that patients suffering from micturition disorders with low birthweight present lower estimated bladder capacity than age‐matched children. Thus, we assume that low birthweight may have strong clinical relevance in children's micturition disorders.