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Published on: February 10, 2023

Quality of life in neurologically healthy children with urinary incontinence

Gunilla Gladh1, Monica Eldh, Sven Mattsson

  • 1Department of Molecular and Clinical Medicine, Division of Paediatrics, Faculty of Health Sciences, University of Linköping, Linköping, Sweden. gunilla.glad@Lio.se

Insights

Active treatment for childhood urinary incontinence significantly improves quality of life (QoL). This study found incontinent children have lower QoL, impacting social skills and self-esteem, supporting early intervention.

Area of Science:

  • Pediatric Urology
  • Quality of Life Research
  • Child Psychology

Background:

  • Urinary incontinence in children can negatively impact psychosocial well-being.
  • Limited data exists on the quality of life (QoL) for neurologically healthy children with urinary incontinence.

Purpose of the Study:

  • To evaluate the quality of life (QoL) in children with urinary incontinence.
  • To provide evidence supporting active treatment for childhood urinary incontinence.

Main Methods:

  • A validated, child-adjusted self-rating QoL questionnaire was administered to 120 children (aged 6-16) with urinary incontinence.
  • A control group of 239 age-matched healthy children was included for comparison.
  • Data was analyzed comparing the patient and control groups overall and in age-specific subgroups.

Main Results:

  • Children with urinary incontinence reported significantly lower QoL scores compared to controls (p<0.0001).
  • Social situation, self-esteem, and self-confidence were most affected, particularly in younger children.
  • A small percentage of the control group with incontinence also reported lower QoL, but still better than the study patients.

Conclusions:

  • Quality of life (QoL) is demonstrably reduced in children experiencing urinary incontinence.
  • The findings strongly support the initiation of active treatment for urinary incontinence in children at younger ages.
Abstract

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