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Bacterial Colonization as a Possible Source of Overactive Bladder Symptoms in Pediatric Patients: A Literature Review
Katarzyna Kilis-Pstrusinska1, Artur Rogowski2,3, Przemysław Bienkowski4
1Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.
Insights
The urinary microbiome may play a role in pediatric overactive bladder (OAB). Research is needed to understand the link between urinary tract bacteria and OAB symptoms in children and adolescents.
Area of Science:
- Urology
- Microbiology
- Pediatrics
Background:
- Overactive bladder (OAB) significantly impacts quality of life.
- The exact causes of OAB are not fully understood.
- Urinary microbiome dysbiosis is a potential contributing factor to OAB.
Purpose of the Study:
- To review evidence linking urinary microbiome to OAB in children and adolescents.
- To identify knowledge gaps and future research directions.
- To explore the role of bacterial colonization in pediatric OAB symptoms.
Main Methods:
- Literature review of studies on urinary microbiome and OAB.
- Analysis of existing data on adult OAB and urinary tract bacteria.
- Identification of research gaps in the pediatric population.
Main Results:
- Growing evidence suggests a link between urinary microbiome and OAB in adults.
- No studies directly address the urinary microbiome in pediatric OAB.
- Significant knowledge gaps exist regarding pediatric OAB pathophysiology.
Conclusions:
- The urinary microbiome is a potential area of research for pediatric OAB.
- Further preclinical and clinical studies are needed to validate this concept in children.
- Understanding the pediatric urinary microbiome may lead to new OAB treatments.
Abstract:
Overactive Bladder (OAB) is a common condition that is known to have a significant impact on daily activities and quality of life. The pathophysiology of OAB is not completely understood. One of the new hypothetical causative factors of OAB is dysbiosis of an individual urinary microbiome. The major aim of the present review was to identify data supporting the role of bacterial colonization in overactive bladder symptoms in children and adolescents. The second aim of our study was to identify the major gaps in current knowledge and possible areas for future clinical research. There is a growing body of evidence indicating some relationship between qualitative and quantitative characteristics of individual urinary microbiome and OAB symptoms in adult patients. There are no papers directly addressing this issue in children or adolescents. After a detailed analysis of papers relating urinary microbiome to OAB, the authors propose a set of future preclinical and clinical studies which could help to validate the concept in the pediatric population.
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