Urinary Tract Pathology Associated with Constipation

Shopfner, Charles E.

doi:10.1148/90.5.865

Cited by 75 publications

(23 citation statements)

References 13 publications

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“…As previously stated, Shopfner [2] in discussing uri nary tract pathology associated with constipation also noted that 54% of these patients were enuretic. Similarly Baumann and Hinman [13] described the treatment of incontinent boys with nonobstructive disease of the uri nary tract.…”

Section: Constipation and Enuresismentioning

confidence: 73%

“…A review of the literature suggests that rectal dilata tion may influence the function of the urinary tract leading to urinary tract infection and enuresis. Our studies indicate that constipation may, by causing uninhibited bladder contractions, cause urinary tract infection, enuresis and vesicoureteral reflux.in compression of the bladder, bladder neck obstruction or distension of the urethra leading to abnormalities of urinary tract function [1], Shofpner [2] in 1968 demon strated that the presence of constipation has the poten tial for inducing gross distorsion of the bladder and ure thra in children. Though this report concentrated on radiologic evidence of distorsion resulting from consti pation, of note was the fact that of the 39 children stud ied, 8 had reflux, 21 also had enuresis and 2 had recur rent urinary tract infection.…”

mentioning

confidence: 99%

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Relevance of Constipation to Enuresis, Urinary Tract Infection and Reflux

Yazbeck

Schick

O’Regan³

1987

Eur Urol

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Section: Constipation and Enuresismentioning

confidence: 73%

mentioning

confidence: 99%

Relevance of Constipation to Enuresis, Urinary Tract Infection and Reflux

Yazbeck

Schick

O’Regan³

1987

Eur Urol

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“…Several studies have been published on an association between fecal impaction and lower urinary tract function [7,13]. In this study, we examined elderly patients who had constipation without fecal impaction.…”

Section: Discussionmentioning

confidence: 99%

Alleviating Constipation in the Elderly Improves Lower Urinary Tract Symptoms

Charach

Greenstein²,

Rabinovich³

et al. 2001

Gerontology

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Background: Constipation and lower urinary tract symptoms (LUTS) very frequently occur in the elderly, and several reports have suggested that dysfunction in either one of these systems may affect the other. Most studies correlating rectal and bladder dysfunction, however, have been carried out in children or young women. Objective: To examine the effect of alleviating constipation on LUTS in the elderly. Methods: Fifty-two patients aged 65–89 (mean 72 ± 13) years with chronic constipation and LUTS participated in this prospective cohort study. Before treatment of constipation was initiated and on their monthly visits, patients completed a questionnaire regarding their constipation pattern, urinary symptoms, sexual function and mood, and underwent urinalysis. Urinary tract anatomy and residual urine were evaluated by abdominal ultrasound at the commencement and completion of the study. Patients were followed up for 4 months. Results: Treatment of constipation increased the number of weekly defecations from 1.5 ± 0.9 to 4.7 ± 1.2 (p < 0.001). Patients spent less time on the toilet (25 ± 2.1 versus 63 ± 1.9 min, p < 0.0001). Fewer patients reported urgency (16 versus 34, p < 0.001), frequency (25 versus 47, p < 0.001) and burning sensation during urination (6 versus 17, p < 0.05). There was improvement in the scoring of urgency, frequency and burning sensation (from a baseline of 52 to 126, 131 and 95, respectively, p < 0.001). Urinary stream disturbances improved in 32 of the 52 patients (p < 0.001). Residual urine volume decreased from 85 ± 39.5 to 30 ± 22.56 ml (p < 0.001). There was also a significant decrease in the number of patients with bacteriurial events (5 versus 17, p < 0.001), and an improvement in sexual activity and mood (p < 0.05). Conclusions: Our data demonstrated that medical relief of constipation significantly improves LUTS in the elderly which, in turn, improves the patient’s mood, sexual activity and quality of life.

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“…Similarly, Shopfner [13] noted radiologic abnormalities attributable to obstruc tion, i.e. ureteral dilatation and hydronephrosis in pa tients with functional constipation.…”

Section: Discussionmentioning

confidence: 89%