Title: Recurrent urinary tract infections and bladder dysfunction but constipations in children
- Ryszard Makosiej, Izabela Płaneta-Małecka, Krystyna Grzybowska, Sławomir Suski, Małgorzata Niedworok, Beata Sordyl, Danuta Leśniak, Stanisław Materla, Waldemar Wroński, Andrzej Kałużyński
- Contemporary Pediatrics, Gastroenterology, Hepatology and Child Feeding
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- recurrent urinary tract infection, constipation, urodynamic investigation
The aim of the study was the estimation of mutual correlations of urinary and digestive tract inflammatory and functional changes.
Methods: lnvestigations were preformed in 39 children aged 3 to 16 years, who were hospitalized due to recurrent urinary tract infections, nocturia and aconuresis and were also suffering from abdominal pain and constipations. In all children generał analysis and inoculations of urine, ultrasonography with the estimation of urine retention in the bladder after miction and urodynamical examinations or miction ureterocystography were preformed. In a group of 30 children in whom dysfunction of bladder activitiy, urinary tract recurrent infections as well as abdominal pains and constipations were observed, colonoscopic examinations were preformed, during which segments for histopathological examinations were sampled. The obtained results were referred to a comparative group of 15 children in whom urinary tract infections and defecaction dysfunction did not occur.
Results: Urodynamical examinations proved bladder dysfunction (of different grade) in all children examined. In 30 (76%) children the bladder dysfunction detrusory-sphincteral dyssenergia was diagnosed. In 7 (18%) children the bladder dysfunction was caused by anomalies of bladder neck and urethra and in 2 (5%) by increased tension coexisting with constipations was discovered on EMG examination. This children were qualified to the endoscopic examination of the lower alimentary tract, which revealed single erosions, swelling and colonic mucosa congestion foci in 24 (80%) of them.
Conclusion: Bladder dysfunction, co-exsisting with chronić or recurrent urinary tract infection, may cause the occurence of constipations and inflammatory changes of colonic mucosa in children.