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Influence of constipation on enuresis.

María Rodríguez-Ruiz1, Roberto Mendez-Gallart2, Manuel García Mérida3

  • 1Servicio de Cirugía Pediátrica, Hospital Materno Infantil, Complexo Hospitalario Universitario de A Coruña, A Coruña, Spain.

Anales De Pediatria
|August 10, 2021
PubMed
Summary

Constipation impacts non-monosymptomatic enuresis and lower urinary tract dysfunction in children. Differentiating enuresis types is crucial for effective treatment, as constipation is a risk factor only for non-monosymptomatic enuresis.

Keywords:
ConstipationEnuresis monosintomáticaEnuresis no monosintomáticaEstreñimientoMonosymptomatic enuresisNon-monosymptomatic enuresis

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Area of Science:

  • Pediatric Urology
  • Gastroenterology
  • Public Health

Background:

  • Constipation is traditionally viewed as a risk factor for enuresis.
  • Recent studies indicate similar constipation prevalence in enuretic and non-enuretic children, questioning this link.

Purpose of the Study:

  • To investigate the influence of constipation on monosymptomatic and non-monosymptomatic enuresis.
  • To determine the prevalence of enuresis, lower urinary tract dysfunction (LUTD), and bladder-bowel dysfunction (BBD) in children.

Main Methods:

  • A cross-sectional study of 772 school children aged 5-9 in Galicia, Spain.
  • Questionnaires assessed urinary and bowel habits, using the Paediatric Lower Urinary Tract Scoring System (PLUTSS).
  • Enuresis diagnosed via International Children's Continence Society (ICSS) criteria; constipation by Rome III criteria and Bristol stool scale.

Main Results:

  • Prevalence: Constipation 20%, Enuresis 9.1% (62.9% monosymptomatic, 37.1% non-monosymptomatic), BBD 5.2%.
  • Constipation did not influence monosymptomatic enuresis.
  • Constipation was a significant risk factor for non-monosymptomatic enuresis and LUTD.

Conclusions:

  • Distinguishing between monosymptomatic and non-monosymptomatic enuresis is vital for accurate diagnosis and treatment.
  • Constipation is a risk factor specifically for non-monosymptomatic enuresis, not monosymptomatic enuresis.