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Bladder Bowel Dysfunction
Liza M Aguiar1, Israel Franco1
12 Dudley Street, Providence, RI 02905, USA.
Insights
Bladder bowel dysfunction (BBD) involves urinary and bowel issues in children, often seen in pediatric urology. This review covers BBD
Area of Science:
- Pediatric Urology
- Gastroenterology
- Lower Urinary Tract Symptoms
Background:
- Bladder bowel dysfunction (BBD) encompasses lower urinary tract symptoms and bowel complaints.
- BBD symptoms account for a significant portion of pediatric urology consultations.
- The common innervation and pelvic floor muscles link bladder and bowel function.
Purpose of the Study:
- To review the clinical presentation of BBD in children.
- To outline the diagnostic approach for pediatric BBD.
- To discuss the pathophysiology and treatment options for BBD.
Main Methods:
- Literature review of BBD in pediatric populations.
- Analysis of diagnostic criteria and treatment strategies.
- Synthesis of current understanding of BBD pathophysiology.
Main Results:
- BBD presents as a spectrum of urinary and bowel symptoms.
- Increased awareness has improved diagnostic and treatment modalities.
- Understanding the pathophysiology aids in effective management.
Conclusions:
- BBD is a common condition in pediatric urology requiring comprehensive evaluation.
- Integrated management addressing both bladder and bowel symptoms is crucial.
- Further research may refine diagnostic and therapeutic approaches.
Abstract:
Bladder bowel dysfunction (BBD) describes a spectrum of lower urinary tract symptoms associated with bowel complaints. The true incidence of BBD is unknown; however, BBD symptoms represent approximately 40% of pediatric urology consultations. Given the close interaction between the bladder and bowel due to their common innervation as well as associated pelvic floor muscles, patients often present with bowel complaints as well. Increasing awareness of BBD over the past 30 years has led to better diagnostic criteria and treatment methods. In this article, we review the clinical presentation, diagnostic approach, pathophysiology, and treatment options for children with BBD.
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