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Retrospective evaluation of early risk factors in children with different types of micturition disorders

Klaudia Berk1, Malgorzata Powirtowska1, Adrianna Blahuszewska1

  • 1Department of Paediatrics and Nephrology, Children's Clinical Hospital of the Medical University of Bialystok, Bialystok, Poland.

Acta Paediatrica (Oslo, Norway : 1992)
|November 26, 2018
PubMed

Insights

Low birthweight in children may increase the risk of combined daytime and nighttime incontinence. This study found that low birthweight is linked to reduced bladder capacity in children with micturition disorders.

Area of Science:

  • Pediatrics
  • Urology
  • Developmental Biology

Background:

  • Micturition disorders in children have multifactorial causes, with perinatal factors potentially playing a significant role.
  • Urinary incontinence in children remains a complex condition with unclear etiological pathways.

Purpose of the Study:

  • To investigate the association between perinatal factors and different types of micturition disorders in children.
  • To compare micturition disorder types based on gestational length, birthweight, family history of bedwetting, and delivery type.

Main Methods:

  • Analysis of data from 488 pediatric patients diagnosed with micturition disorders.
  • Inclusion of clinical and urodynamic diagnoses, perinatal history, constipation, history of vesicoureteral reflux, family history of nocturnal enuresis, and bladder capacity.
  • Statistical analysis performed using Mann-Whitney and Spearman tests.

Main Results:

  • Children with low birthweight exhibited a higher incidence of combined daytime-nocturnal incontinence compared to those with normal birthweight.
  • Low birthweight was associated with a smaller bladder capacity relative to age in children with micturition disorders.

Conclusions:

  • Low birthweight may predispose children to combined daytime-nocturnal incontinence.
  • This study highlights a novel finding of reduced bladder capacity in low birthweight children with micturition disorders, suggesting significant clinical relevance.
Abstract

Keywords:
BirthweightBladder capacityMicturition disordersPerinatal history

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