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Related Experiment Videos

Voiding dysfunction in pediatric patients.

Stanley Hellerstein1, Jennifer S Linebarger

  • 1Department of Pediatrics, The University of Missouri School of Medicine at Kansas City, USA.

Clinical Pediatrics
|March 15, 2003
PubMed
Summary
This summary is machine-generated.

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Children with detrusor instability who posture to avoid incontinence face a higher risk of urinary tract infections (UTIs). Constipation can cause detrusor instability, a common voiding disorder in children.

Area of Science:

  • Pediatric Urology
  • Pediatric Nephrology
  • Child Health

Background:

  • Voiding disorders are common in children and can be associated with urinary tract infections (UTIs).
  • Understanding the patterns and clinical criteria for diagnosing these disorders is crucial for effective management.
  • Detrusor instability is a significant diagnosis within pediatric voiding dysfunction.

Purpose of the Study:

  • To characterize the spectrum of voiding disorders in a pediatric population.
  • To define clinical diagnostic criteria for various voiding dysfunctions.
  • To evaluate management strategies for these conditions.

Main Methods:

  • Retrospective analysis of medical records for 226 children referred for voiding dysfunction or UTIs.
  • Exclusion of children with normal voiding, monosymptomatic nocturnal enuresis, or known neurological/anatomical abnormalities.

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  • Diagnosis based on clinical presentation and voiding patterns.

    • Main Results:

    • Detrusor instability was diagnosed in 175 of 226 children, presenting as urgency with or without frequency.
    • Children with detrusor instability employing posturing maneuvers to prevent incontinence showed a higher incidence of UTIs.
    • Constipation was identified as a secondary cause of detrusor instability in 19 children.
    • Dysfunctional voiding, a condition with potential for renal damage, was found in only 2 children.

    Conclusions:

    • Children with detrusor instability who use posturing behaviors are at elevated risk for recurrent UTIs.
    • Constipation is a contributing factor to detrusor instability in some pediatric cases.
    • While less common, dysfunctional voiding poses a risk for renal damage and requires careful monitoring.