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Bladder and bowel dysfunction: evidence for multidisciplinary care.

Cortney Wolfe-Christensen1, Alexandra Manolis, William C Guy

  • 1Department of Pediatric Urology, Children's Hospital of Michigan, Detroit, Michigan.

The Journal of Urology
|May 15, 2013
PubMed
Summary
This summary is machine-generated.

Children with bladder-bowel dysfunction show similar symptom severity across urology and gastroenterology clinics. These children experience more severe voiding issues, constipation, and psychosocial difficulties than healthy peers.

Keywords:
BSFSBristol Stool Form ScaleDVSSDysfunctional Voiding Scoring SystemGIPSCPSI-SFParenting Stress Index-Short FormPediatric Symptom Checklistcombined modality therapyconstipationgastroenterologyurinary incontinence

Related Experiment Videos

Area of Science:

  • Pediatric Urology
  • Pediatric Gastroenterology
  • Child Psychology

Background:

  • Bladder-bowel dysfunction (BBD) is common in children.
  • Children with BBD often present to specialized clinics like urology or gastroenterology.
  • Understanding the overlap in symptoms and difficulties is crucial for effective management.

Purpose of the Study:

  • To compare symptoms of bladder-bowel dysfunction and psychosocial difficulties in children.
  • To examine children presenting to pediatric urology for voiding dysfunction and pediatric gastroenterology for functional constipation.

Main Methods:

  • Matched case-control study design.
  • Parents completed validated questionnaires: Dysfunctional Voiding Scoring System, Bristol Stool Form Scale, Pediatric Symptom Checklist, and Parenting Stress Index™-Short Form.
  • Assessment of voiding dysfunction severity, stool consistency, psychosocial difficulties, and parenting stress.

Main Results:

  • No significant differences in BBD severity or psychosocial difficulties between urology and gastroenterology clinic samples.
  • Children in both clinics exhibited more severe voiding dysfunction, constipation, and psychosocial issues compared to healthy controls.
  • Parenting stress was positively correlated with patient psychosocial difficulties and voiding dysfunction severity.

Conclusions:

  • Children with BBD presenting to pediatric urology or gastroenterology form a homogeneous group.
  • A multidisciplinary approach involving urology, gastroenterology, and psychology is recommended.
  • Integrated care may improve outcomes for children with complex bladder and bowel issues.