Prevalence of Bladder and Bowel Dysfunction in the Outpatient Clinic of Pediatric Urology and Nephrology

• Published in: Urologia Colombiana 2020-12, Vol.29 (4), p.217-224
• Main Authors: Barco-Castillo, Catalina, Mejía, Natalia, Echeverry, Mariana, Ramos, Anamaría, Fernández, Nicolás, Pérez, Jaime
• Format: Article
• Language: English
• Subjects: Original Article | Artículo Original
• ISSN: 0120-789X; 2027-0119
• DOI: 10.1055/s-0040-1713925

Abstract Objective  Bladder and bowel dysfunction (BBD) is defined as the presence of functional alterations in both organs. The correct diagnosis and treatment prevent the exposure of patients to multiple antibiotic treatments, invasive procedures and radiological studies. The aim of the present study was to estimate the prevalence of BBD in the outpatient clinic of pediatric urology and nephrology. Methods  A prospective cohort composed of 334 patients aged between 5 and 18 years was evaluated. The Pediatric Lower Urinary Tract Symptom Score (PLUTSS) was applied. A score higher than 8 was considered as significant urinary symptomatology. Moreover, the Bristol Stool Scale and the Rome IV Criteria for functional constipation and fecal incontinence were used. Patients with organic pathologies were excluded. The risk factors were evaluated using logistic regression models. Results  The median age was 9 years old (interquartile range [IQR]: 6–13). The PLUTSS questionnaire was significant in 16.5% of the kids, constipation was found in 31.9%, and fecal incontinence, in 4%. The prevalence of BBD was of 27.8%. The female gender (odds ratio [OR]: 2.47; p  = 0.002) and psychological disorders (OR: 4.637; p  = 0.024) were considered risk factors. The evaluation of the PLUTSS questionnaire showed relevance regarding incontinence (OR: 3.059; p  = 0.038), enuresis (OR: 8.532; p