The Role of Bowel Management in Children with Bladder and Bowel Dysfunction
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Purpose of Review
Bladder and bowel dysfunction is a common pediatric disorder that involves lower urinary tract symptoms (LUTS) as well as constipation and/or encopresis. Effective treatment of constipation in these patients leads to resolution or improvement of urinary symptoms in the majority of cases. Because many of these children initially present to the urologist with the primary complaint of LUTS, it is important for the consulting specialist to be well-versed on the topic of constipation. This review aims to provide an evidence-based guide on the evaluation and management of constipation in children.
Recent papers have improved our knowledge on the utilization of interventions such as antegrade continence enemas and sacral nerve stimulation for more recalcitrant cases of constipation. Although there have been limited advancements in the use of pharmacologic therapies for the treatment of constipation in children, it is hoped that newer therapeutic agents proven effective for adult constipation will gain pediatric use over time.
Present therapy for constipation in BBD is effective for the majority of patients. There is promise for further improvement in treatment options in the near future.
KeywordsConstipation BBD Lower urinary tract symptoms Dysfunctional elimination syndrome Children Treatment
This research was supported in part by the National Institutes of Health T32 training grants awarded to the Vanderbilt University Medical Center under award numbers T32GM007569 and T32DK007663.
Compliance with Ethical Standards
Conflict of Interest
Drs Bernal, Dole, and Thame have no financial relationships relevant to this article to report.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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