Urinary tract dilatation in constipated children

Herbetko, J.; Hyde, I.

doi:10.1259/0007-1285-63-755-855

Cited by 9 publications

(3 citation statements)

References 6 publications

(4 reference statements)

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“…Although many reports suggest a link between obstipation, UTI, incontinence and VUR [3,7,8,16], the exact pathophysiology remains unexplained [1]. The anatomical proximity of the bladder and urethra to the rectum, and the similar innervation (S2‐S4) of the urethral and anal sphincters, make it likely that the dysfunction occurs in both systems simultaneously.…”

Section: Discussionmentioning

confidence: 99%

Pelvic‐floor therapy and toilet training in young children with dysfunctional voiding and obstipation

Paepe¹,

Renson²,

Laecke³

et al. 2000

BJU International

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Objective To analyse experience in treating young children (4±5 years old) with urodynamically con®rmed voiding dysfunction, using a noninvasive training programme. Patients and methods Between January 1996 and October 1997, 20 children (all <5 years old, mean age 4.45 years, 18 girls and two boys, mean ages 4.44 and 4.5 years, respectively) with voiding dysfunction were treated. Three children showed ®lling phase dysfunction alone (bladder instability), six emptying phase dysfunction alone (dysfunctional voiding) and 11 showed both ®lling and emptying phase dysfunction. Sixteen children had incontinence problems (three diurnal, two nocturnal and 11 diurnal and nocturnal). Eight children had a history of recurrent urinary tract infections and 12 girls had vaginal irritation. Four children were referred for perineal pain caused by spasms of the pelvic¯oor. Eight children had encopresis based on chronic obstipation. Therapy consisted of keeping a voiding and drinking chart, instructions on proper toilet posture, daily rules for application at home, and if possible relaxation biofeedback of the pelvic-¯oor muscles. Therapy was considered successful if incontinence and other urological symptoms resolved. The treatment of encopresis is also discussed. Results Of the 20 children, 13 had a good result; they all became dry during the day and night, and encopresis resolved. Six children had moderate success; in one, nocturnal incontinence persisted, and in two diurnal and nocturnal incontinence continued. In two children encopresis persisted and in one the faecal incontinence ameliorated. In one child the therapy was prematurely interrupted because of lack of motivation. Conclusion This experience suggests that a noninvasive training programme is applicable in very young children with symptoms of dysfunctional elimination of urine and faeces.

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Section: Discussionmentioning

confidence: 99%

Pelvic‐floor therapy and toilet training in young children with dysfunctional voiding and obstipation

Paepe¹,

Renson²,

Laecke³

et al. 2000

BJU International

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“…[11][12][13] Moreover, higher rates of dilatation of the upper urinary tract and urinary tract infections in constipated patients reported in some studies were attributed to mechanical compression of the urinary tract by the distended rectum, owing to the anatomic proximity of the bladder and urethra to the rectum. [14][15][16] In a similar fashion, constipation in children was reported by Fein et al 17 as a cause of scrotal or testicular pain, which was attributed to direct neural stimulation by a fecal mass in the rectum. In this regard, the posterior sacral nerve, ilioinguinal nerve, or genital branch of the genitofemoral nerve has been implicated in this neural relationship.…”

Section: Discussionmentioning

confidence: 65%

Chronic Constipation as a Causative Factor for Development of Varicocele in Men

Turgut¹,

Özden²,

Koşar³

et al. 2007

J of Ultrasound Medicine

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Chronic constipation is a significant causative factor for the development of left varicocele, which may be attributable to the accompanying distention of the sigmoid colon and distal part of the descending colon, with resultant compression of the left testicular vein in the retroperitoneum. Therefore, we propose routine ultrasonographic examinations for the possible development of varicocele in men with chronic constipation.

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“…A relação da constipação com problemas urinários é bem reconhecida, embora um mecanismo para a sua incidência não esteja definido 1,5,8,9,17,21,22 . A compressão do reto e/ou outros segmentos colônicos distendidos por fezes sobre qualquer região do trato urinário pode levar a deslocamento da bexiga e dilatação do sistema pielocalicial com suas conseqüências, embora elas não resultem apenas do efeito mecânico e obstrutivo 8,[23][24][25][26] . É possível que as manobras de contração dos músculos do assoalho pélvico, com o intuito de reter as fezes e evitar dor à defecação, facilitem a retenção concomitante de urina e o aparecimento de sintomas.…”

Section: Tabela 1 -Constipação Crônica Nas Crianças Segundo Sinais E unclassified

Signs and symptoms associated with chronic constipation

Motta

Silva²

2000

J Pediatr (Rio J)

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ResumoObjetivos: Verificar se os sinais e sintomas referidos pelos pais estão associados à presença de constipação crônica.Métodos: Foi realizado um estudo comparativo entre um grupo de crianças constipadas e um grupo formado por uma amostra randomizada de crianças não constipadas. Os dados foram coletados através de formulário estruturado aplicado às mães. Considerou-se constipada a criança que apresentava no mínimo duas das seguintes características, há pelo menos trinta dias: eliminação dolorosa ou com esforço de fezes de consistência aumentada e/ou com freqüência inferior a três vezes por semana.Resultados: Inapetência, distensão e dor abdominais, sangue nas fezes, escape fecal, sintomas urinários e vômitos foram as variáveis avaliadas. Houve diferença estatística entre os grupos constipado e não constipado para inapetência, dor abdominal e sangue nas fezes (p< 0,05).Conclusão: Existe relação entre sintomas e sinais analisados e constipação, embora nem todos tenham demonstrado associação estatística. O estudo chama a atenção para a necessidade de pesquisar acuradamente tanto a presença de constipação intestinal quanto a sua relação com essas complicações. J. pediatr. (Rio J.). 2000; 76(3):222-226:constipação, dor abdominal, escape fecal, inapetência, sintomas urinários, sangue nas fezes. AbstractObjective: To check whether signs and symptoms referred to by parents are associated with chronic constipation.Methods: A comparative survey was carried out in a group of children with constipation and another group without constipation selected from a random sample. Data were collected from mothers using a structured questionnaire. Children with chronic constipation were expected to have undergone painful defecation or defecation with effort during at least thirty days with stools of hard consistency and/or bowel movements frequency below three times per week.Results: An assessment was made of the variables: inappetence, abdominal distension, abdominal pain, faecal bleeding, soiling, urinary problems and vomit. Statistical differences were observed among children with and without constipation for inappetence, abdominal pain and faecal bleeding (p<0,05).Conclusions: An association was detected between the signs and symptoms analyzed and constipation. This study stresses the need to investigate accurately whether children have constipation and the extent of its relationship with those complications. J. pediatr. (Rio J.). 2000; 76(3):222-226:constipation, abdominal pain, soiling, inappetence, urinary problems, faecal bleeding. Sinais e sintomas associados à constipação crônicaSigns and symptoms associated with chronic constipation Maria Eugênia F.A. Motta 1 , Gisélia A.P. da Silva 2 IntroduçãoA constipação crônica é comum em crianças e pode evoluir com algumas complicações quando não tratada adequada e precocemente 1-4 . Os sintomas e os sinais mais freqüentemente associados à constipação crônica são dor e distensão abdominais, escape fecal, vômitos, sintomas urinários, sangue nas fezes e inapetência 5 .Os pais costuma...

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Urinary tract dilatation in constipated children

Cited by 9 publications

References 6 publications

Pelvic‐floor therapy and toilet training in young children with dysfunctional voiding and obstipation

Pelvic‐floor therapy and toilet training in young children with dysfunctional voiding and obstipation

Chronic Constipation as a Causative Factor for Development of Varicocele in Men

Signs and symptoms associated with chronic constipation

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