Lower Urinary Tract Symptoms from Childhood to Adulthood: A Population Based Study of 594 Finnish Individuals 4 to 26 Years Old

Kyrklund, Kristiina; Taskinen, Seppo; Rintala, Risto; Pakarinen, Mikko P.

doi:10.1016/j.juro.2012.04.016

Cited by 47 publications

(57 citation statements)

References 25 publications

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“…There are inconsistencies in the paediatric literature with respect to gender differences in voiding symptoms. Kyrklund et al 10 found more voiding symptoms in boys than girls only in the age-group of 4 to 7 years, while such difference was not noted by others. 8,24 Psychotropic substance use increased the risk of LUTS in our adolescents.…”

Section: Discussionmentioning

confidence: 79%

“…In children, the prevalence of LUTS peaks at age 5 to 7 years and then declines with increasing age up to 13 to 14 years. [7][8][9][10]20 The decline in prevalence has been attributed to the maturation of urinary bladder function along with the growth and development of children. Our study is the first to provide evidence that LUTS prevalence rises from the trough at the onset of adolescence and continues to increase throughout adolescence into adulthood.…”

Section: Discussionmentioning

confidence: 99%

“…In a Finnish study of 594 subjects aged 4 to 26 years, the authors reported that individuals aged 18 to 26 years had more urgency than the other two age-groups of 8 to 12 years and 13 to 17 years. 10 Although adolescence spans less than a decade, it is unique with rapid physical, psychological, and developmental changes. Reasons for the increase in LUTS prevalence from adolescence to young adulthood are largely unknown but likely to be multifactorial.…”

Section: Discussionmentioning

confidence: 99%

“…5 Previous studies of the prevalence of individual LUTS using the International Children's Continence Society (ICCS) definitions 6 have focused primarily on pre-adolescent children in primary schools. [7][8][9][10] To date, no large-scale studies have investigated the prevalence of LUTSs in adolescents. Psychotropic substance use among adolescents is a growing concern worldwide and creates psychosocial, security, and health care issues.…”

Section: %mentioning

confidence: 99%

See 3 more Smart Citations

Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse

Tam¹,

Ng²,

Wong³

et al. 2016

Hong Kong Med J

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Objective: To investigate the prevalence of lower urinary tract symptoms in adolescents and the effects of psychotropic substance use. Methods:This was a population-based crosssectional survey using a validated questionnaire in students from 45 secondary schools in Hong Kong randomly selected over the period of January 2012 to January 2014. A total of 11 938 secondary school students (response rate, 74.6%) completed and returned a questionnaire that was eligible for analysis. Individual lower urinary tract symptoms and history of psychotropic substance abuse were documented.Results: In this study, 11 617 non-substance abusers were regarded as control subjects and 321 (2.7%) were psychotropic substance users. Among the control subjects, 2106 (18.5%) had experienced at least one lower urinary tract symptom with urinary frequency being the most prevalent symptom (10.2%). Females had more daytime urinary incontinence (P<0.001) and males had more voiding symptoms (P=0.01). Prevalence of lower urinary tract symptoms increased with age from 13.9% to 25.8% towards young adulthood and age of ≥18 years (P<0.001). Among the substance users, ketamine was most commonly abused. Substance users had significantly more lower urinary tract symptoms than control subjects (P<0.001). In multivariate analysis, increasing age and psychotropic substance population have incurred significant costs to the health care system. In children, the association of LUTS with urinary tract infection, persistent vesicoureteric reflux, renal scarring, and constipation have drawn substantial attention over the years. 3,4 Among various LUTSs, urinary incontinence (UI) has been most extensively investigated in children with the reported prevalence varying from 1.8% to ORIGINAL ARTICLE abuse increased the odds for lower urinary tract symptoms. Non-ketamine substance users and ketamine users were respectively 2.8-fold (95% confidence interval, 2.0-3.9) and 6.2-fold (4.1-9.1) more likely than control subjects to develop lower urinary tract symptoms. Females (odds ratio=9.9; 95% confidence interval, 5.4-18.2) were more likely to develop lower urinary tract symptoms than males (4.2; 2.5-7.1) when ketamine was abused. Conclusions:Lower urinary tract symptoms are prevalent in the general adolescent population. It is important to obtain an accurate history regarding psychotropic substance use when treating teenagers with lower urinary tract symptoms.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: %mentioning

confidence: 99%

See 2 more Smart Citations

Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse

Tam¹,

Ng²,

Wong³

et al. 2016

Hong Kong Med J

View full text Add to dashboard Cite

show abstract

“…6,7,[28][29][30] Inclusion of healthy matched controls representing a normal population is extremely valuable, when health outcomes of a neonatal surgical disorder are assessed. 9,31 Otherwise, meaningful interpretation of the obtained results is much more difficult, because normality is not necessarily as straightforward as we think. For example 35% of healthy children and adolescents aged 4-26 years report fecal staining of underwear.…”

Section: Cross-sectional and Prospective Follow-up Studiesmentioning

confidence: 90%