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[Lower urinary tract dysfunction in children].

Urologie

January 2025

Klinik für Urologie und Kinderurologie, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Lower urinary tract dysfunction (LUTD) is common in children and can significantly impact the quality of life in affected children and their families. This article provides a comprehensive overview of the causes, diagnostics, and treatment, with a particular focus on nonorganic urinary incontinence and nocturnal enuresis. Accurate diagnostics are essential to differentiate between organic and functional causes, as well as to distinguish primary from secondary forms of urinary incontinence.

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The impact of constipation on lower urinary tract function and treatment response in patients with non-monosymptomatic enuresis.

BMC Urol

December 2024

Division of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 16F, #289, Chienkuo Road, Xindian, New Taipei, 23142, Taiwan.

Purpose: The purpose of this study was to compare the differences in lower urinary tract function and treatment response between non-monosymptomatic nocturnal enuresis (NMNE) pediatric patients with and without constipation.

Method: We retrospectively analyzed pediatric patients diagnosed as NMNE from our enuresis database. Inclusion criteria were children aged 5 years or older with a follow-up duration of at least one month.

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Background: Voiding dysfunction (VD) is a frequent reason for primary care referrals to urologists and pediatric urologists. VD symptoms include urine incontinence (UI), urinary tract infection (UTI), hyperactive bladder, and constipation. Early detection of Nocturnal enuresis is critical due to its high frequency and the consequences for families and children regarding psychological and behavioral aspects.

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Article Synopsis
  • Lower urinary tract symptoms (LUTS) are common in children and adolescents, significantly affecting their mental health and psychological wellbeing, contrasting with the focus of previous research mainly on adults.
  • An extensive survey conducted in China among 6,077 children aged 6-15 revealed notable prevalences of LUTS symptoms like urgency (19.46%) and daytime incontinence (9.75%), with higher rates linked to factors like age and toilet training practices.
  • The study found that children with LUTS exhibited a 44.6% incidence of abnormal psychological behavior, markedly higher than those without LUTS, indicating a strong relationship between LUTS and mental health issues.
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