Urinary and faecal incontinence: a population-based study

U Söderstrom1, M Hoelcke, L Alenius

  • 1Department of Clinical Sciences, Huddinge University Hospital, Karolinska Institutet, Sweden.

Insights

Daytime urinary incontinence and faecal incontinence frequently occur together in Swedish schoolchildren. Developing integrated treatment plans is crucial for affected children.

Area of Science:

  • Pediatric Gastroenterology
  • Urology
  • Public Health

Background:

  • Urinary and faecal incontinence are common issues in childhood.
  • Understanding the co-occurrence of these conditions is vital for effective management.

Purpose of the Study:

  • To investigate the prevalence and coexistence of urine and faecal incontinence among Swedish schoolchildren.
  • To identify associations between different types of incontinence in this population.

Main Methods:

  • A cohort study was conducted in Eskilstuna, Sweden, involving first and fourth graders.
  • Parental questionnaires collected data on incontinence prevalence, with a 67% response rate.
  • Multiple logistic regression analysis was used to analyze the data.

Main Results:

  • Daytime urinary incontinence affected 6.3% of first graders and 4.3% of fourth graders.
  • Faecal incontinence was reported in 9.8% of first graders and 5.6% of fourth graders.
  • Daytime urinary incontinence showed a strong association with faecal incontinence (OR 7.2) and bedwetting (OR 4.1).

Conclusions:

  • Soiling and daytime urinary incontinence frequently coexist in Swedish schoolchildren.
  • There is a need for collaborative treatment strategies addressing both gastroenterological and urological aspects for affected children.
Abstract

Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
Urine Studies I: Urinalysis01:29

Urine Studies I: Urinalysis

Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...