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The "congenital" wide bladder neck anomaly: a common cause of incontinence in children
K Murray1, D Nurse, M Borzyskowski
1Department of Urology, Guy's Hospital, London.
Insights
A wide bladder neck anomaly, identified in 19% of children with bladder dysfunction, is likely congenital. This condition can cause childhood urinary symptoms and potentially lead to adult stress incontinence.
Area of Science:
- Pediatric Urology
- Urodynamics
- Congenital Anomalies
Background:
- Non-neuropathic bladder dysfunction is common in children.
- A wide bladder neck is a potential anatomical abnormality.
- Understanding the etiology and long-term implications of bladder neck anomalies is crucial.
Purpose of the Study:
- To investigate the prevalence of wide bladder neck as a primary abnormality in children undergoing videourodynamic studies.
- To explore the congenital origin of the wide bladder neck anomaly.
- To assess the potential long-term consequences, including adult stress incontinence.
Main Methods:
- Videourodynamic studies were performed on 251 children (108 boys, 143 girls).
- Patients were assessed for non-neuropathic bladder dysfunction.
- The primary abnormality identified was a wide bladder neck.
Main Results:
- A wide bladder neck was identified as the primary abnormality in 45 (19%) of the children studied.
- Evidence suggests the wide bladder neck anomaly is congenital.
- The anomaly is associated with significant urinary symptoms in childhood.
Conclusions:
- The wide bladder neck anomaly is a significant finding in pediatric urodynamics.
- Congenital wide bladder neck may predispose individuals to urinary symptoms in childhood and stress incontinence in adulthood.
Abstract:
In a study of 251 children (108 boys, 143 girls) undergoing videourodynamic studies for the assessment of non-neuropathic bladder dysfunction, 45 (19%) were found to have a wide bladder neck as their primary abnormality. Based on these studies there is evidence that the wide bladder neck anomaly is congenital in origin. In addition to producing significant urinary symptoms in childhood, this anomaly may provide a basis for stress incontinence in later life.