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Constipation associated with vesicoureteral reflux
Urology
|November 1, 1986
Insights
Constipation is frequently linked to uninhibited bladder contractions in children with vesicoureteral reflux. Rectal manometry confirmed constipation, suggesting a potential non-accidental connection between these conditions.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Urodynamics
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Constipation is a prevalent issue in pediatric populations.
- The relationship between VUR and constipation requires further investigation.
Purpose of the Study:
- To investigate the association between constipation and VUR in pediatric patients.
- To evaluate the urodynamic and rectal manometric findings in children with VUR.
Main Methods:
- Seventeen children diagnosed with VUR were included.
- Urodynamic studies were performed to assess bladder function.
- Rectal manometry, including rectal balloon studies, was utilized to evaluate rectal function and diagnose constipation.
Main Results:
- All participants exhibited uninhibited bladder contractions.
- Rectal dilatation, indicative of constipation, was confirmed in all patients via rectal balloon manometry.
- A recurrent association between constipation and VUR was observed.
Conclusions:
- The findings suggest a potential non-fortuitous association between constipation and VUR in children.
- Constipation may play a role in the pathophysiology or management of VUR.
- Further research is warranted to elucidate the underlying mechanisms of this association.
Abstract:
Seventeen children who had vesicoureteral reflux underwent urodynamic and rectal manometric studies. All had uninhibited bladder contractions. All had rectal dilatation confirming the presence of constipation by rectal balloon manometry. The recurrent association of constipation with ureteral reflux suggests the possibility of a nonfortuitous association.