This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Loening-Baucke, V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Loening-Baucke, V.
Related Collections
Right arrow Genitourinary Tract

PEDIATRICS Vol. 100 No. 2 August 1997, pp. 228-232

Urinary Incontinence and Urinary Tract Infection and Their Resolution With Treatment of Chronic Constipation of Childhood

Received Oct 11, 1996; accepted Dec 23, 1996.

Vera Loening-Baucke

From the Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Objectives.  To evaluate the frequency of urinary incontinence and urinary tract infection in children with chronic constipation and report on the resolution of these with treatment of the underlying constipation.

Methods.  We evaluated the frequency of urinary incontinence and urinary tract infection in 234 chronic constipated and encopretic children before, and at least 12 months after, the start of treatment for constipation.

Results.  Twenty-nine percent complained of daytime urinary incontinence and 34% of nighttime urinary incontinence. Urinary tract infection was present in 11% and was more commonly present in girls than in boys (33% vs 3%). Vesicoureteral reflux was present in four and megacystis in four of the 25 children who had a voiding cystourethrogram because of urinary tract infection. One girl who came in had constipation and acute urinary retention. The treatment for constipation consisted of disimpaction and maintenance treatment, which included the prevention of reaccumulation of stools and reconditioning to normal bowel habits through timed toilet sitting. Follow-up, at least 12 months after start of treatment for constipation, revealed that the constipation was relieved successfully in 52%. Relief of constipation resulted in disappearance of daytime urinary incontinence in 89% and nighttime urinary incontinence in 63% of patients, and disappearance of recurrent urinary tract infections in all patients who had no anatomic abnormality of the urinary tract.

Conclusion.  Urinary symptoms were found in a significant number of children who had functional constipation and encopresis. With treatment of the constipation, most patients became clean and dry and further recurrence of urinary tract infections was prevented.

Key words: urinary incontinence, enuresis, urinary tract infection, urinary retention, constipation, encopresis, children.




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
I. Akyol, C. Adayener, T. Senkul, K. Baykal, and C. Iseri
An Important Issue in the Management of Elimination Dysfunction in Children: Parental Awareness of Constipation
Clinical Pediatrics, September 1, 2007; 46(7): 601 - 603.
[Abstract] [PDF]

Home page
 Arch. Dis. Child.Home page
V. Loening-Baucke
Prevalence rates for constipation and faecal and urinary incontinence
Arch. Dis. Child., June 1, 2007; 92(6): 486 - 489.
[Abstract] [Full Text] [PDF]

Home page
 J Ultrasound MedHome page
A. T. Turgut, E. Ozden, P. Kosar, U. Kosar, B. Cakal, and A. Karabulut
Chronic Constipation as a Causative Factor for Development of Varicocele in Men: A Prospective Ultrasonographic Study
J. Ultrasound Med., January 1, 2007; 26(1): 5 - 10.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. Joinson, J. Heron, A. von Gontard, and and the ALSPAC Study Team
Psychological Problems in Children With Daytime Wetting
Pediatrics, November 1, 2006; 118(5): 1985 - 1993.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Wm. L. M. Robson, A. K.C. Leung, and R. Van Howe
Primary and Secondary Nocturnal Enuresis: Similarities in Presentation
Pediatrics, April 1, 2005; 115(4): 956 - 959.
[Abstract] [Full Text] [PDF]

Home page
 ImagingHome page
K Bradshaw
Urinary tract infections
Imaging, December 1, 2004; 16(2): 124 - 129.
[Abstract] [Full Text] [PDF]

Home page
 DTBHome page
Management of bedwetting in children
DTB, May 1, 2004; 42(5): 33 - 37.
[Abstract] [Full Text] [PDF]

Home page
 The Journal of the Royal Society for the Promotion of HealthHome page
M. Twaij
Urinary tract infection in children: a review of its pathogenesis and risk factors
The Journal of the Royal Society for the Promotion of Health, December 1, 2000; 120(4): 220 - 226.
[Abstract] [PDF]

Home page
 CMAJHome page
N. L. Saux, B. Pham, and D. Moher
Evaluating the benefits of antimicrobial prophylaxis to prevent urinary tract infections in children: a systematic review
Can. Med. Assoc. J., September 1, 2000; 163(5): 523 - 529.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
W. L. M. Robson and A. K. C. Leung
Secondary Nocturnal Enuresis
Clinical Pediatrics, July 1, 2000; 39(7): 379 - 385.
[Abstract] [PDF]

Home page
 J Pediatr PsycholHome page
M. W. Mellon and M. L. McGrath
Empirically Supported Treatments in Pediatric Psychology: Nocturnal Enuresis
J. Pediatr. Psychol., June 1, 2000; 25(4): 193 - 214.
[Abstract] [Full Text] [PDF]

Home page
 Pediatr. Rev.Home page
C. E. Johnson
New Advances in Childhood Urinary Tract Infections
Pediatr. Rev., October 1, 1999; 20(10): 335 - 342.
[Full Text]

Home page
 PediatricsHome page
A. B. Belman; and V. Loening-Baucke
Urinary Tract Infection, Wetting, and Constipation
Pediatrics, July 1, 1998; 102(1): 158 - 158.
[Full Text]

Home page
 JWatch GeneralHome page
THE ASSOCIATION BETWEEN CONSTIPATION AND URINARY SYMPTOMS
Journal Watch (General), August 8, 1997; 1997(808): 5 - 5.
[Full Text]