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[Detrusor pseudohyperactivity syndrome in children with constipation]
Ryszard Makosiej1, Danuta Leśniak, Ewa Skłodowska
1Klinika Gastroenterologii, Instytut Centrum Zdrowia Matki Polki, ul. Rzgowska 281/289, 93-338 Lodz , Poland. kgp@iczmp.edu.pl
Medycyna Wieku Rozwojowego
|July 11, 2006
Summary
Chronic constipation in children can lead to detrusor hyperactivity syndrome, causing nocturia and daytime urinary incontinence. This occurs due to rectal pressure on the bladder, impacting its volume and function.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Clinical Medicine
Background:
- Nocturia, pressing tenesmus, and daytime urinary incontinence are common pediatric urological issues.
- The interplay between constipation and lower urinary tract symptoms requires further investigation.
Purpose of the Study:
- To evaluate the relationship between constipation and symptoms of nocturia, pressing tenesmus, and daytime urinary incontinence in children.
- To understand the underlying mechanisms connecting constipation to these urinary symptoms.
Main Methods:
- A study involving 51 children (3-17 years) hospitalized for nocturia, pressing tenesmus, and daytime urinary incontinence.
- Comprehensive diagnostic workup of the urinary and lower alimentary tracts, with results compared to a control group.
Main Results:
- An enlarged rectal ampulla can decrease bladder volume, leading to pressing tenesmus, nocturia, and daytime urinary incontinence.
- This mechanism contributes to the development of detrusor hyperactivity syndrome, characterized by chronic constipation and altered voiding patterns.
Conclusions:
- Chronic constipation disrupts the functional balance between the distal bowel and bladder.
- This disruption contributes to the formation of detrusor hyperactivity syndrome, affecting urine storage and voiding.
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