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Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society

  • Stephen Yang
  • Michael E. Chua
  • Stuart Bauer
  • Anne Wright
  • Per Brandström
  • Piet Hoebeke
  • Søren Rittig
  • Mario De Gennaro
  • Elizabeth Jackson
  • Eliane Fonseca
  • Anka Nieuwhof-Leppink
  • Paul Austin
Review

Abstract

Background

We present a consensus view from the International Children’s Continence Society (ICCS) on the evaluation and management of bladder bowel dysfunction (BBD) in children with urinary tract infection (UTI). The statement aims to highlight the importance of BBD in the development and recurrence of childhood UTI and its management to reduce its associated morbidity and sequelae.

Methods

A systematic literature search was done on PubMed, Embase, and Scopus databases until August 15, 2016. Relevant publications concerning BBD and its relationship with UTI among children were reviewed and aggregated for statements of recommendation. Discussion by the ICCS Board and a multi-disciplinary core group of authors resulted in a document available on its website for all ICCS members to review. Insights and feedback were considered with consensus and agreement reached to finalize this position statement.

Results

BBD in children with UTI is summarized. Details regarding epidemiology, pathophysiology, and recommendations for general and family practitioners and pediatricians relating to the evaluation and management of this condition are presented.

Conclusions

This document serves as the position statement from ICCS, based on literature review and expert opinion providing our current understanding of BBD in children with UTI.

Keywords

Bladder bowel dysfunction Urinary tract infection Consensus statement 

Abbreviations

BBD

Bladder bowel dysfunction

BSFS

Bristol Stool Form Scale

DES

Dysfunctional elimination syndrome

DV

Dysfunctional voiding

DVSS

Dysfunctional voiding symptom score

LUT

Lower urinary tract

LUTD

Lower urinary tract dysfunction

PVR

Post-void residual urine

UTI

Urinary tract infection

VUR

Vesicoureteral reflux

VCUG

Voiding cystourethrogram

VUDS

Urodynamic and videourodynamic study

ACE

Antegrade continence enema

CIC

Clean intermittent catheterization

Notes

Source of funding

None.

Compliance with ethical standards

Conflict of interest

None.

Supplementary material

467_2017_3799_MOESM1_ESM.doc (115 kb)
ESM 1 (DOC 115 kb)

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Copyright information

© IPNA 2017

Authors and Affiliations

  • Stephen Yang
    • 1
  • Michael E. Chua
    • 1
    • 2
    • 3
  • Stuart Bauer
    • 4
  • Anne Wright
    • 5
  • Per Brandström
    • 6
  • Piet Hoebeke
    • 7
  • Søren Rittig
    • 8
  • Mario De Gennaro
    • 9
  • Elizabeth Jackson
    • 10
  • Eliane Fonseca
    • 11
  • Anka Nieuwhof-Leppink
    • 12
  • Paul Austin
    • 13
  1. 1.Department of UrologyTaipei Tzu-Chi Hospital, and Buddhist Tzu Chi UniversityTaipeiTaiwan
  2. 2.Department of UrologyThe Hospital for Sick ChildrenTorontoCanada
  3. 3.Institute of UrologySt. Luke’s Medical CenterQuezon CityPhilippines
  4. 4.Department of UrologyBoston Children’s HospitalBostonUSA
  5. 5.Department of Paediatric NephrourologyEvelina Children’s HospitalLondonUK
  6. 6.Department of PediatricsThe Queen Silvia Children’s HospitalGothenburgSweden
  7. 7.Department of UrologyGhent University HospitalGhentBelgium
  8. 8.Department of PediatricsAarhus UniversityAarhusDenmark
  9. 9.Department of UrologyBambino Gesù Children’s Hospital of RomeRomeItaly
  10. 10.Department of PediatricsCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  11. 11.Department of PediatricsRio de Janeiro State UniversityRio de JaneiroBrazil
  12. 12.University Medical Centre-Wilhelmina KinderziekenhuisUtrechtNetherlands
  13. 13.Department of UrologySt Louis Children’s HospitalSt. LouisUSA

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