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Urinary incontinence in children and associated problems

S Hansson1

  • 1Department of Paediatrics, Gothenburg University, Sweden.

Scandinavian Journal of Urology and Nephrology. Supplementum
|January 1, 1992
PubMed

Insights

Urinary tract infections (UTI) in children are linked to daytime wetting, not just nighttime wetting. Girls with hidden UTIs often show signs of bladder dysfunction.

Area of Science:

  • Pediatric Urology
  • Infectious Diseases
  • Child Health

Background:

  • Urinary tract infections (UTI) are a frequent childhood illness.
  • Bladder dysfunction can manifest in various ways, including incontinence.
  • Understanding the link between UTI and bladder issues is crucial for pediatric care.

Purpose of the Study:

  • To investigate the association between urinary tract infections and bladder dysfunction in children.
  • To assess the prevalence of UTI in relation to different types of incontinence in schoolchildren.
  • To examine clinical and urodynamic findings in girls with asymptomatic bacteriuria.

Main Methods:

  • Cross-sectional study involving 3553 seven-year-old schoolchildren.
  • Assessment of UTI prevalence based on incontinence status (bedwetting, daytime wetting, combined).
  • Clinical evaluation and urodynamic studies in girls with covert bacteriuria.

Main Results:

  • Isolated nocturnal enuresis (bedwetting) showed no significant association with UTI.
  • Daytime wetting alone or combined with night wetting strongly correlated with previous UTI.
  • Most girls with asymptomatic bacteriuria exhibited clinical and urodynamic evidence of bladder dysfunction.

Conclusions:

  • Daytime wetting is a significant indicator of potential urinary tract infections in children.
  • Asymptomatic bacteriuria in girls is frequently associated with underlying bladder dysfunction.
  • Early identification of wetting patterns may aid in diagnosing UTI and bladder issues in pediatric populations.

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