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Comorbidity of functional urinary incontinence and encopresis: somatic and behavioral associations

Alexander Von Gontard1, Elke Hollmann

  • 1Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, Germany. von.gontard@uniklinik-saarland.de

The Journal of Urology
|May 1, 2004
PubMed

Insights

Children with both urinary incontinence and encopresis often experience daytime wetting, bladder issues, and behavioral problems. These children require comprehensive assessment and tailored treatments for both conditions.

Area of Science:

  • Pediatric urology
  • Child psychiatry
  • Behavioral science

Background:

  • Functional urinary incontinence and encopresis are prevalent comorbid conditions in childhood.
  • Understanding the specific symptoms when these conditions co-occur is crucial for effective management.

Purpose of the Study:

  • To analyze the somatic and behavioral symptoms in children presenting with comorbid functional enuresis/urinary incontinence and encopresis.

Main Methods:

  • Prospective examination of 167 children (aged 5-10) with daytime and/or nighttime wetting.
  • Utilized ultrasound, uroflowmetry, electroencephalography, Child Behavior Checklist, Culture Fair Intelligence Test, and ICD-10 diagnoses.

Main Results:

  • The comorbid group (20 patients) showed higher rates of daytime incontinence, micturition problems, thickened bladder walls, and abnormal electroencephalography.
  • Behavioral issues, including hyperkinetic syndromes and emotional/conduct disorders, were more frequent.
  • 65% of the comorbid group scored in the clinical range on the Child Behavior Checklist, with elevated problem scales.

Conclusions:

  • Children with comorbid urinary incontinence and encopresis represent a distinct risk group needing thorough evaluation.
  • Treatment should address both the urological symptoms and associated behavioral, psychotherapeutic, and pharmacological needs.
Abstract

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