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Constipation, bladder instability, urinary tract infection syndrome.

S O'Regan, S Yazbeck, E Schick

    Clinical Nephrology
    |March 1, 1985
    PubMed
    Summary
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    Treating constipation in children with recurrent urinary tract infections significantly improved bladder function and reduced infections. Aggressive constipation management resolved infections and associated symptoms like enuresis and encopresis.

    Area of Science:

    • Pediatric Urology
    • Gastroenterology
    • Continence Disorders

    Background:

    • Recurrent urinary tract infections (UTIs) in children are a common clinical problem.
    • Constipation is frequently associated with UTIs, enuresis, and encopresis in pediatric populations.
    • Large fecal reservoirs and associated rectal distension may impact bladder function.

    Purpose of the Study:

    • To investigate the relationship between constipation and recurrent UTIs in children.
    • To evaluate the efficacy of aggressive constipation treatment on UTI recurrence and lower urinary tract symptoms.
    • To assess the impact of constipation management on bladder function.

    Main Methods:

    • Forty-seven children with recurrent UTIs were assessed for fecal reservoirs using rectal examination and manometry.

    Related Experiment Videos

  • Urodynamic studies were performed to evaluate bladder function.
  • Patients received aggressive treatment for constipation.

    • Main Results:

    • A significant correlation was observed between large fecal reservoirs and recurrent UTIs.
    • Aggressive constipation treatment led to cessation of UTIs in 44 out of 47 patients.
    • Associated symptoms of enuresis and encopresis showed significant improvement, and bladder function normalized.

    Conclusions:

    • Constipation is a significant contributing factor to recurrent UTIs in children.
    • Effective management of constipation is crucial for resolving UTIs and improving bladder dysfunction.
    • Addressing fecal retention offers a promising therapeutic strategy for pediatric recurrent UTIs.