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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
PubMed

Insights

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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