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Evaluation of voiding dysfunctions in children with chronic functional constipation
Erhun Kasirga1, Ipek Akil, Ozge Yilmaz
1Department of Pediatrics, Celal Bayar University Faculty of Medicine, Manisa, Turkey.
The Turkish Journal of Pediatrics
|February 13, 2007
Summary
Children with chronic functional constipation (CFC) have a higher risk of urinary tract infections (UTI) and urgency. However, other voiding dysfunctions like nocturnal enuresis were not significantly different between groups.
Area of Science:
- Pediatric Urology
- Gastroenterology
Background:
- Dysfunctional bowel emptying's role in urinary tract disorders like urinary tract infection (UTI), vesicoureteral reflux (VUR), and enuresis remains controversial.
- Constipation can precipitate UTI, enuresis, and VUR through uninhibited bladder contractions.
Purpose of the Study:
- To investigate the prevalence of nocturnal enuresis, UTI, and bladder instability symptoms in children with chronic functional constipation (CFC).
Main Methods:
- A case-control study involving 38 children with CFC and 31 controls.
- Data collection included detailed medical and family history, urinalysis, urine culture, stool analysis, and abdominal ultrasonography.
Main Results:
- The CFC group showed a significantly higher frequency of UTI and urgency compared to the control group.
- No significant differences were observed in the frequencies of urge incontinence, nocturnal enuresis, or genitourinary abnormalities between the groups.
Conclusions:
- Chronic functional constipation (CFC) is associated with an increased risk of UTI and urgency in children.
- Other voiding dysfunctions, such as urge incontinence and nocturnal enuresis, do not appear to be significantly affected by CFC.
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