Mental disorders in children and adolescents with lower urinary tract
            dysfunction

“…LUTD affects 2 to 25% of the pediatric population (16), and most of them have OAB (17). The prevalence of OAB in children aged 5 to 14 years is about 9% (4).…”

Section: Discussionmentioning

confidence: 99%

Association Between Overweight and Obesity and Overactive Bladder in Children: A Cross-sectional Study

et al. 2021

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Background: Overactive bladder (OAB) is a common cause of voiding dysfunction in children and is classified as lower urinary tract dysfunction (LUTD). In recent studies, obesity and overweight are assumed as risk factors for voiding dysfunction and urinary incontinence in children. Objectives: This study was conducted to evaluate the correlation between overweight and obesity with OAB in children. Methods: This cross-sectional study measured BMI in 56 children aged between 3 and 16 years with OAB (case group) and 56 healthy matched children (control group). Overweight and obesity were compared between the two groups. The study also accessed lower urinary tract symptoms and their association with BMI in the OAB children. The data were analyzed using the SPSS software version 18.0 for windows (SPSS Inc., Chicago, IL). Results: The mean age of the OAB patients was 7.71 ± 2.65 years, and 38 (67.8%) of them were female. Frequency and holding maneuvers were the most prevalent complaints. A history of urinary tract infection was detected in 46 (82.1%) of the OAB patients. There were no significant differences in overweight and obesity between the two groups (P = 0.23). Conclusions: No correlation was observed between overweight and obesity with OAB. The reason may be different socioeconomic conditions or malnutrition in these children. Thus, it is recommended to perform a study with a larger sample size in our community to assess malnutrition in the general children population.

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“…Recently, in a review of literature by Marciano et al, 7 The prevalence of mental disorders in children and adolescents these disorders is high—ranging from about 20%–40%—in children with symptoms of LUTD.…”

Section: Introductionmentioning

confidence: 99%

Psychological and mental impact of long‐standing incontinence on children and adolescents with complex urologic disorders

Wadie,

Ashour,

Ali

2023

Neurourology and Urodynamics

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PurposeIncontinence has a negative impact on the quality of life and is associated with psychiatric disturbances in humans. This study evaluates the impact of long‐standing incontinence on psychological and mental development.MethodsThis is a cohort study carried out in a tertiary care urologic facility. After obtaining an IRB approval, we enrolled 49 children with severe incontinence (incontinence for at least 1 year duration and one surgical intervention) and interviewed between October 2019 and March 2020. Child Behavior Checklist (CBCL) and intelligence quotient (IQ) testing was performed for each using Stanford‐Binet—4th edition. An age‐matched control group was recruited for comparison. A total of 51 children in the control group were later recruited from March 2020 to October 2020 from the Psychiatry Department.ResultsA total of 49 children fulfilled the inclusion criteria. Mean age was 9.93 years, 31 males and 18 females. The etiology of incontinence was neuropathic bladder in 30, exstrophy in 8, incontinent epispadius in 4, valve bladder in 4; common urogenital sinus in 2, and refractory OAB in 1. Median number of procedures was 2 (Range 0–9). Median pads were 5 per day and median hospital stay was 32 days. Median total score of CBCL was 26.5 compared to 7 for the control group (p = 0.00023). Mean IQ of the study group was 88.3 as compared to that of the control (94.65), the difference is significant (p = 0.00023).ConclusionChildren with severe degree of incontinence suffered from significant psychiatric disorders and negative affection of their intelligence. A multidisciplinary approach is advised for management of those children

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Mental disorders in children and adolescents with lower urinary tract dysfunction

Cited by 9 publications

References 36 publications

Psychiatric disorders in children with enuresis at 6 and 11 years old in a birth cohort

Psychiatric disorders in children with enuresis at 6 and 11 years old in a birth cohort

Association Between Overweight and Obesity and Overactive Bladder in Children: A Cross-sectional Study

Psychological and mental impact of long‐standing incontinence on children and adolescents with complex urologic disorders

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