Clinical course of a cohort of children with non-neurogenic daytime urinary incontinence symptoms followed at a tertiary center

Journal Title: Jornal de Pediatria - Year 2016, Vol 92, Issue 2

Abstract

Objective To characterize a cohort of children with non-neurogenic daytime urinary incontinence followed-up in a tertiary center. Methods Retrospective analysis of 50 medical records of children who had attained bladder control or minimum age of 5 years, using a structured protocol that included lower urinary tract dysfunction symptoms, comorbidities, associated manifestations, physical examination, voiding diary, complementary tests, therapeutic options, and clinical outcome, in accordance with the 2006 and 2014 International Children's Continence Society standardizations. Results Female patients represented 86.0% of this sample. Mean age was 7.9 years and mean follow-up was 4.7 years. Urgency (56.0%), urgency incontinence (56.0%), urinary retention (8.0%), nocturnal enuresis (70.0%), urinary tract infections (62.0%), constipation (62.0%), and fecal incontinence (16.0%) were the most prevalent symptoms and comorbidities. Ultrasound examinations showed alterations in 53.0% of the cases; the urodynamic study showed alterations in 94.7%. At the last follow-up, 32.0% of patients persisted with urinary incontinence. When assessing the diagnostic methods, 85% concordance was observed between the predictive diagnosis of overactive bladder attained through medical history plus non-invasive exams and the diagnosis of detrusor overactivity achieved through the invasive urodynamic study. Conclusions This subgroup of patients with clinical characteristics of an overactive bladder, with no history of urinary tract infection, and normal urinary tract ultrasound and uroflowmetry, could start treatment without invasive studies even at a tertiary center. Approximately one-third of the patients treated at the tertiary level remained refractory to treatment.

Authors and Affiliations

Adrienne Lebl

Keywords

Related Articles

Autism in Brazil: a systematic review of family challenges and coping strategies

Objective To describe the challenges faced by families caring for children with autism spectrum disorder (ASD) in Brazil and the coping strategies employed. Sources Systematic review of articles published until Septembe...

Translation and validation of the Transition Readiness Assessment Questionnaire (TRAQ)

Objective To translate and validate the Brazilian Portuguese version of the Transition Readiness Assessment Questionnaire in a population of adolescents and young adults with chronic rheumatologic disorders. This questio...

Prevalence of musculoskeletal pain in adolescents and association with computer and videogame use

Objective This study investigated the presence of musculoskeletal symptoms in high school adolescents from public schools and its association with electronic device use. Methods The sample consisted of 961 boys and girl...

Reference curves of the body fat index in adolescents and their association with anthropometric variables

Objectives To develop reference curves for the body fat index (BFI) in the pediatric population, in adolescents from the city of São Paulo, Brazil, and verify their association with body mass index and body fat percentag...

Intimate partner violence during pregnancy and behavioral problems in children and adolescents: a meta-analysis

Objective To evaluate the association of intimate partner violence during the gestational period and the development of externalizing and internalizing behavioral problems in children and adolescents. Source of data A m...

Download PDF file
  • EP ID EP552285
  • DOI 10.1016/j.jped.2015.04.005
  • Views 46
  • Downloads 0

How To Cite

Adrienne Lebl (2016). Clinical course of a cohort of children with non-neurogenic daytime urinary incontinence symptoms followed at a tertiary center. Jornal de Pediatria, 92(2), 129-135. https://europub.co.uk./articles/-A-552285