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Constipation associated with vesicoureteral reflux.

S O'Regan, E Schick, B Hamburger

    Urology
    |November 1, 1986
    PubMed
    Summary
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    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.

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    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.