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Radiological evidence of constipation in urinary tract infection
A J Blethyn1, H R Jenkins, R Roberts
1Department of Radiology, University Hospital of Wales, Cardiff.
Archives of Disease in Childhood
|December 1, 1995
Summary
Constipation, indicated by increased fecal loading, is associated with recurrent urinary tract infections (UTIs) in children, particularly girls. Further research is needed to confirm a causal link and treatment benefits.
Area of Science:
- Pediatric Nephrology
- Pediatric Gastroenterology
- Radiology
Background:
- Recurrent urinary tract infections (UTIs) are a common childhood issue.
- The link between constipation and recurrent UTIs in children lacks substantial objective evidence.
- Constipation may contribute to UTIs through various mechanisms, including rectal-urinary tract proximity and bacterial translocation.
Purpose of the Study:
- To investigate the association between fecal loading and recurrent urinary tract infections (UTIs) in children.
- To determine if constipation is a significant factor in childhood recurrent UTIs.
Main Methods:
- Abdominal radiographs of children with confirmed UTIs were assessed for fecal loading using a standardized radiological scoring system.
- Two independent observers evaluated the degree of fecal loading.
- A comparison was made between children with UTIs and a control group.
Main Results:
- A statistically significant increase in fecal loading was observed in children with UTIs compared to controls (r = 0.237).
- This association was primarily driven by girls experiencing frequent UTIs (more than five episodes).
Conclusions:
- The study confirms a significant association between increased fecal loading (constipation) and recurrent UTIs in children.
- Further investigation is warranted to establish a causal relationship and evaluate the potential benefits of constipation management in treating recurrent UTIs.
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