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Bowel bladder dysfunction in control children in a pediatric urology office.
Priscilla Rodriguez1, Alexandra Rehfuss1, Adam Howe1
1Albany Medical College, NY, USA.
Journal of Pediatric Urology
|March 26, 2024
Summary
The Swedish Bowel-Bladder Questionnaire (BBQ) effectively identifies bowel bladder dysfunction (BBD) in children, even those without apparent symptoms. It highlights correlations between BBD and ADHD, younger age, and female gender.
Area of Science:
- Pediatric Urology
- Child Health
- Diagnostic Tools
Background:
- Bowel bladder dysfunction (BBD) is prevalent in children.
- Risk factors include age, gender, obesity, and ADHD.
Purpose of the Study:
- Evaluate the Swedish Bowel-Bladder Questionnaire (BBQ) for detecting BBD in children.
- Identify correlations between BBQ scores and risk factors like ADHD, BMI, and gender.
Main Methods:
- Administered the Swedish BBQ to toilet-trained children over 30 months old.
- Collected total and sub-scores for storage, emptying, and constipation.
- Compared scores between children with and without voiding dysfunction, analyzing risk factors via regression analysis.
Main Results:
- The median BBQ score was higher in children with potential voiding dysfunction compared to controls.
- 16% of control patients showed elevated BBQ scores, indicating undiagnosed BBD.
- ADHD was associated with increased BBQ scores in both control and voiding dysfunction groups.
Conclusions:
- The Swedish BBQ is a sensitive tool for identifying BBD in children, including those without overt symptoms.
- BBD in children with ADHD is not linked to constipation and improves with age.
- The questionnaire revealed BBD in a significant percentage of children with genital or urinary abnormalities.
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