Non-biological determinants of paediatric bladder bowel dysfunction: A pilot study

Advanced Practice Nursing in Pediatric Urology: experience report in the Federal District

“…Both instruments must be completed by the patient, with the assistance of a supervisor, if necessary. The Dysfunctional Voiding Symptom Score (DVSS) is applied by the nursing team in each patient's visit, in order to measure and compare the evolution of the patient's BBD symptoms (10) . The illustrative materials used are: an instrument adapted from the Bristol Scale -used to record the type of feces of the patient; and brochures with pictures of foods that are considered as bladder irritants or not.…”

“…The second one clarifies that the patient attends the service, and that it is advisable to allow the student to leave the classroom to use the toilet whenever he/she needs it. It is understood that the school context can influence the voiding and bowel behavior in a positive way, when it stimulates good bladder habits; and in a negative way, if it causes the child or adolescent to postpone their physiological eliminations (7,10) . Therefore, the use of these letters aims to include the social environment and to ensure the continuity of care by the patient and family.…”

Non-Neurogenic Bladder Dysfunction in Children: Diagnosis and Procedure.

“…Urinary disorders are often accompanied by digestive problems such as constipation or alvi incontinence so that it needs to be evaluated. 11,14 The history focuses on childhood voiding complaints while observing the behavior and stages of child development.4 Urinary processes are examined in detail, especially in frequency, recording number and patterns of childhood voiding, as well as other complaints such as pain or other neurological disorders. In addition to physical complaints, children need to be asked about problems or psychosocial effects associated with urinary disorders.…”

“…5(10), 568-574 569 dysfunction in children aged 5-7 years, with prevalence in Japan and Korea respectively 17.8% and 16.6% .3 Studies at the RSCM Children's Health Department mentioned urinary incontinence occurred in 35 children, with details of 22 children with neurogenic dysfunction, 4 children with non-neurogenic dysfunction, and 9 children with anatomical abnormalities. 9 Girls are more likely to experience bladder dysfunction than boys, 10,11 are also often accompanied by vesicoureter reflux and recurrent secondary urinary tract infections. 3,8,12 Non-neurogenic bladder dysfunction affects the quality of the child's life both physically and psychosocially.…”

<b>Contexto escolar e hábitos miccionais: estudo transversal com escolares do Distrito Federal / School setting and voiding habits: a cross-sectional study among school-aged children from the Federal District<b>

“…Tendo em vista essa multiplicidade de fatores que modulam a decisão de ida ao toalete, estudos internacionais vêm buscando compreender como tem sido este comportamento na escola; foram alvos de investigação a questão de permissão para o uso do toalete (5,8) , as condições físicas e sanitárias oferecidas pela escola (9)(10)(11) , além do conhecimento/percepção dos professores e enfermeiros escolares acerca dos hábitos e disfunções miccionais na infância (5,9) . Devido à carência de estudos que abordem estes fatores sobre a realidade brasileira, e, tendo em mente que em geral a criança "gasta" quase 1/3 de seu dia dentro do ambiente escolar, ou até maior número de horas se for em período integra, este estudo objetiva avaliar a frequência de ida e a permissão para uso do toalete na escola sob a perspectiva do escolar.…”