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Ultrasonographic evaluation of urinary tract in children with chronic functional constipation
C Karakelleoğlu1, Z Orbak, B Sen
1Department of Pediatrics, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Insights
Children with chronic functional constipation show higher rates of urinary tract abnormalities, including bladder residue and kidney dilation, compared to healthy peers. These issues often improve after constipation treatment.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Diagnostic Imaging
Background:
- Chronic functional constipation is a common pediatric issue.
- Urinary tract anomalies can be associated with constipation.
- Ultrasound is a non-invasive imaging technique.
Purpose of the Study:
- To investigate urinary tract anomalies in children with chronic functional constipation.
- To compare findings before and after constipation treatment.
- To compare with healthy controls.
Main Methods:
- Prospective ultrasound investigation.
- Inclusion of 31 children with chronic functional constipation.
- Comparison with 29 healthy controls.
Main Results:
- Urinary tract anomalies were more frequent in constipated children.
- Bladder residue and upper renal tract dilatation were significantly higher.
- Improvements were noted after treatment.
Conclusions:
- Chronic functional constipation is linked to urinary tract abnormalities.
- Ultrasound can identify these anomalies.
- Treatment of constipation may resolve some urinary tract issues.
Abstract:
Urinary tract anomalies were prospectively investigated with ultrasound in 31 children with chronic functional constipation. These children were compared with 29 healthy controls without constipation both before and after treatment. Bladder residue and upper renal tract dilatation after micturition were significantly more common in the group with constipation than in the improved after-treatment and control groups.