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Non-biological determinants of paediatric bladder bowel dysfunction: A pilot study.

G Martins1, J Minuk2, A Varghese2

  • 1Division of Urology, The Hospital for Sick Children (Sick Kids Hospital(®)), 555 University Ave, Toronto, Ontario, M5G 1X8, Canada; Department of Nursing, Faculty of Health Sciences, University of Brasilia, SQN 214, Bloco K, Suite 613, Brasilia, Federal District, 70873-110, Brazil.

Journal of Pediatric Urology
|November 21, 2015
PubMed
Summary

Children with bladder and bowel dysfunction (BBD) may experience more severe symptoms if they have unplanned pregnancies, attend daycare, or have school problems. Environmental and familial factors significantly impact paediatric continence and BBD severity.

Keywords:
ChildrenFamilyLower urinary tract symptomsSocial environment

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Area of Science:

  • Paediatric Urology
  • Child Health
  • Behavioural Science

Background:

  • Bladder and bowel dysfunction (BBD) is common in paediatric urology referrals.
  • Symptom severity in BBD can significantly impact a child's quality of life.
  • Non-biological factors influencing BBD severity in children are not well understood.

Purpose of the Study:

  • To investigate the impact of personal, family, and environmental variables on BBD symptom severity in school-aged children.
  • To identify potential triggers for increased BBD severity in paediatric patients.

Main Methods:

  • Pilot, prospective, observational study of 53 children with BBD.
  • Data collected via questionnaires on demographics, family, environment, and lifestyle.
  • Dysfunctional Voiding Scoring System (DVSS) used to measure symptom severity.

Main Results:

  • Most participants were female (66%) with a mean age of 8.35 years.
  • Higher DVSS scores (indicating greater BBD severity) were associated with unplanned pregnancies, daycare attendance, and school problems.
  • Mean DVSS score was 9.9 (SD = 4.2).

Conclusions:

  • Children with BBD presenting to clinics showed increased severity linked to unplanned pregnancies, daycare, and school issues.
  • Interventions for BBD should consider environmental and familial factors.
  • Personal, familial, and environmental interactions play a crucial role in paediatric continence.