Management of Functional Constipation in Children with Lower Urinary Tract Symptoms: Report from the Standardization Committee of the International Children's Continence Society

Burgers, Rosa; Mugie, Suzanne M.; Chase, Janet; Cooper, Christopher S.; Gontard, Alexander von; Rittig, Charlotte Siggaard; Homsy, Yves; Bauer, Stuart B.; Benninga, Marc A.

doi:10.1016/j.juro.2013.01.001

Cited by 141 publications

(80 citation statements)

References 45 publications

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“…Bowel dysfunction and bladder dysfunction are clearly linked with multiple proposed mechanisms explaining the relationship [48•]. Parents often focus on urinary symptoms and may not notice or report bowel symptoms without prompting.…”

Section: Bowel and Bladder Dysfunctionmentioning

confidence: 99%

“…The first step in treatment is to educate parents and children about proper bowel habits and function. Constipation is very common and may require disimpaction followed by prevention through dietary modification and/or daily osmotic stool softeners such as polyethylene glycol [48•]. Some have advocated treating all children with LUT dysfunction for constipation based on the very high rate of coincident constipation among these patients, the unreliability of parent reporting of bowel symptoms, and the low cost and risk associated with this treatment [49].…”

Section: Bowel and Bladder Dysfunctionmentioning

confidence: 99%

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Contemporary Management of Vesicoureteral Reflux

Johnston

Qureshi

Irvine

et al. 2016

Curr Treat Options Peds

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The past 30 years have seen broad changes in the diagnosis and management of vesicoureteral reflux (VUR). Recently, a clinical debate has generated an open discussion in academic circles. New evidence has shifted treatment patterns away from widespread surgical management and recently brought into question some pharmacologic treatments. VUR is usually not hazardous by itself but is a significant risk factor for urinary tract infection (UTI) and less commonly, renal scarring and insufficiency. Given the costs and morbidity of UTI as well as the potential for significant renal injury, our approach remains conservative. Careful follow-up, parental education about pathophysiology and management of VUR and UTI, and management of bowel and bladder dysfunction (BBD) when present, are the foundation of treatment. Additionally, though we recognize the limitation of continuous antibiotic prophylaxis (CAP), we believe the benefits outweigh the risks and costs for many patients. Careful observation can be considered in patients with a single medical home, parental understanding of what UTI signs and symptoms are, low grade VUR, no history of complicated UTIs and close follow-up. Surgical management remains a relevant option for select patients who fail conservative measures with breakthrough UTIs or failure to resolve. Minimally invasive surgical options are available with acceptable outcomes though open ureteroneocystostomy still carries the highest success rate.

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Section: Bowel and Bladder Dysfunctionmentioning

confidence: 99%

Section: Bowel and Bladder Dysfunctionmentioning

confidence: 99%

Contemporary Management of Vesicoureteral Reflux

Johnston

Qureshi

Irvine

et al. 2016

Curr Treat Options Peds

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show abstract

“…La ICCS ha publicado varios documentos en los que describen guías de tratamientos para LUTS y sus comorbilidades (24)(25)(26)(27)(28)(29). En la Figura 6 se presenta una estrategia de diagnóstico y tratamiento del niño con LUTS.…”

Section: Tratamientounclassified

Evaluación y tratamiento del niño con síntomas del tracto urinario inferior (LUTS)

Guerrero-Tinoco

Cano-Martínez

Vanegas-Ruiz

2018

iatreia

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RESUMENLa disfunción miccional es un trastorno del llenado o vaciado de la vejiga en niños sin alteraciones neurológicas o anatómicas. Los síntomas del tracto urinario inferior (LUTS, por la sigla en inglés de Lower urinary tract symptoms) son un motivo frecuente de consulta con el pediatra, el nefrólogo o el urólogo pediatra, e incluso con el neurólogo y el psicólogo infantil. Se le considera una enfermedad relativamente benigna lo que en ocasiones genera desinterés entre médicos y familiares y lleva a consultas tardías e interpretación inadecuada de los síntomas. Manifestaciones como urgencia, incontinencia, enuresis, goteo posmiccional, infecciones urinarias, vulvovaginitis recurrente y constipación, en un niño sin enfermedad neurológica, deben hacer pensar al médico en disfunción miccional para enfocar oportunamente el diagnóstico, restablecer la calidad de vida del paciente, evitar las infecciones urinarias y el daño renal subsecuente e irreversible secundario a un diagnóstico tardío. Las recomendaciones actuales hacen énfasis en un enfoque menos invasivo, tratamiento conservador, manejo de la constipación y reentrenamiento vesical. Este artículo discute la evaluación, el diagnóstico y el tratamiento correctos de niños con LUTS.

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“…The ICCS paper reports that many physicians and parents have used different definitions of constipation and, to solve this issue, the authors recommend usage of Rome III criteria for diagnosis. Although, there are no clear data showing that the treatment of constipation helps nocturnal enuresis, in our opinion constipation should be diagnosed and treated when possible [12]. …”

Section: Work-up and Confirmation Of Diagnosismentioning

confidence: 99%

Advances in the management of enuresis

Tek

Erdem

2014

F1000Prime Rep

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There are still many undiscovered facts about enuresis, even though it is a very old “symptom”. It is a significant health problem with a high prevalence among children and a lower prevalence in adulthood. Many treatment guidelines have been proposed for the management of this problem. The improvement of diagnostic tools, and also treatment modalities, have had a significant impact on success rates; however, the long-term success rates need to be higher, especially in resistant cases. In this report, we summarize the advances made in the diagnosis and treatment of enuresis.

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Management of Functional Constipation in Children with Lower Urinary Tract Symptoms: Report from the Standardization Committee of the International Children's Continence Society

Cited by 141 publications

References 45 publications

Contemporary Management of Vesicoureteral Reflux

Contemporary Management of Vesicoureteral Reflux

Evaluación y tratamiento del niño con síntomas del tracto urinario inferior (LUTS)

Advances in the management of enuresis

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