Journals / Çukurova Anestezi ve Cerrahi Bilimler Dergisi / 2024 / Cilt: 7 Sayı: 4

Is Rectal Diameter a Predictor of Daytime Urinary Incontinence in Pediatric Patients?

Güneş Işık(GAZİANTEP ŞEHİR HASTANESİ)0000-0002-8532-9168
Cemil Oktay(ALANYA ALAADDIN KEYKUBAT UNIVERSITY, FACULTY OF MEDICINE)0000-0002-1595-8014
Sibel Yavuz(Adana City Hospital)0000-0002-6768-238X
Pages
239–242
Publication Date
2024-12-31
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Conclusion: Our data suggest that increased rectal diameter is not the only predisposing factor for daytime urinary incontinence and neural mechanisms such as cross-organ sensitization are also may be effective in daytime urinary incontinence.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: With this study, we aimed to evaulate the relationship between daytime urinary incontinence and transverse rectal diameter by using transabdominal ultrasound.
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Key Findings & Data:Method: In this study, pediatric patients were evaluated with symptoms of daytime urinary incontinence referred to the pediatric nephrology clinics of XXX University Faculty of Medicine between November 1, 2022 and January 1, 2023.
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Conclusion & Impact:Conclusion: Our data suggest that increased rectal diameter is not the only predisposing factor for daytime urinary incontinence and neural mechanisms such as cross-organ sensitization are also may be effective in daytime urinary incontinence.
🔬Design:Araştırma Makalesi
📍Scope:2022 Verileri
⚙️Variables:Children · daytime urinary incontinence · transverse rectal diameter

Abstract

Objective: With this study, we aimed to evaulate the relationship between daytime urinary incontinence and transverse rectal diameter by using transabdominal ultrasound. Method: In this study, pediatric patients were evaluated with symptoms of daytime urinary incontinence referred to the pediatric nephrology clinics of XXX University Faculty of Medicine between November 1, 2022 and January 1, 2023. This observational, cross-sectional study was carried out after obtaining ethics approval. The Dysfunctional Voiding Symptom Score developed by the International Children’s Continence Society was used for the diagnosis of lower urinary tract symptoms. Patients with a The Dysfunctional Voiding Symptom Score of ≥9 points were considered as having lower urinary tract symptoms. Transvers rectal diameter measurement was obtained behind the bladder in the axial plane from the outer wall to the outer wall of the rectum. The patients were assessed by the same radiologist. Results: A total of 77 children were included in the study. The daytime urinary incontinence group included 39 children (19 boys, 20 girls), while the control group included 38 (16 boys, 22 girls) healthy children. There was no statistically significant difference between the patient group with daytime urinary incontinence and healthy control group when compared in terms of transverse rectal diameter measurements (p=0.387, t=0.870). There was no association between transverse rectal diameter and daytime urinary incontinence (p>0.05). Conclusion: Our data suggest that increased rectal diameter is not the only predisposing factor for daytime urinary incontinence and neural mechanisms such as cross-organ sensitization are also may be effective in daytime urinary incontinence.

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Cite This Article

Işık, G., Oktay, C., Yavuz, S. (2024). Is Rectal Diameter a Predictor of Daytime Urinary Incontinence in Pediatric Patients?. Çukurova Anestezi ve Cerrahi Bilimler Dergisi, Cilt: 7 Sayı: 4, 239–242. https://doi.org/10.36516/jocass.1574402

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References (12)

  1. von Gontard A, Baeyens D, Van Hoecke E, Warzak WJ, Bachmann C. Psychological and psychiatric issues in urinary and fecal incontinence. J Urol. 2011;185(4):1432-6. https://doi.org/10.1016/j.juro.2010.11.051
  2. Jansson UB, Hanson M, Sillén U, Hellström AL. Voiding pattern and acquisition of bladder control from birth to age 6 years a longitudinal study. J Urol. 2005;174(1):289-93. https://doi.org/10.1097/01.ju.0000161216.45653.e3
  3. Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. NeurourolUrodyn.2016;35(4):471-81. https://doi.org/10.1002/nau.22751
  4. Chase J, Bower W, Gibb S, Schaeffer A, von Gontard A. Diagnostic scores, questionnaires, quality of life, and outcome measures in pediatric continence: A review of available tools from the International Children's Continence Society. J Pediatr Urol. 2018;14(2):98-107. https://doi.org/10.1016/j.jpurol.2017.12.003
  5. de Abreu GE, de Souza LA, Dourado ER, Schimitz AP, Veiga ML, Barroso U Jr. Role of transverse diameter of the rectum in lower urinary tract symptoms and functional constipation in children and adolescents. J Paediatr Child Health. 2021;57(1):121-5. https://doi.org/10.1111/jpc.15155
  6. Van den Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol 2006;101:2401-9. https://doi.org/10.1111/j.1572-0241.2006.00771.x
  7. Halachmi S, Farhat WA. The impact of constipation on the urinary tract system. Int J Adolesc Med Health. 2008;20(1):17-22. https://doi.org/10.1515/IJAMH.2008.20.1.17
  8. Robson WL, Leung AK. An approach to daytime wetting in children. Adv Pediatr. 2006;53:323-365. https://doi.org/10.1016/j.yapd.2006.04.016
  9. Akbal C, Genc Y, Burgu B, Ozden E, Tekgul S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005;17(3):969-73. https://doi.org/10.1097/01.ju.0000152183.91888.f6
  10. Klijn AJ, Asselman M, Vijverberg MA, Dik P, de Jong TP. The diameter of the rectum on ultrasonography as a diagnostic tool for constipation in children with dysfunctional voiding. J Urol. 2004;172(5 Pt 1):1986-8. https://doi.org/10.1097/01.ju.0000142686.09532.46
  11. Doğan G, Keçeli M, Yavuz S, Topçu A, Kasırga E. Measurement of Rectal Diameter and Anterior Wall Thickness by Ultrasonography in Children with Chronic Constipation. Turk J Gastroenterol. 2022;;33(12):1062-8. https://doi.org/10.21203/rs.3.rs-719215/v1
  12. Doğan G, Keçeli M, Yavuz S, Topçu A, Kasırga E. Measurement of Rectal Diameter and Anterior Wall Thickness by Ultrasonography in Children with Chronic Constipation. Turk J Gastroenterol. 2022;;33(12):1062-8. https://doi.org/10.21203/rs.3.rs-719215/v1