الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 180 |  |  |
| | | from | 180 | | |
Abstract
Authors:
2 Mohamad Al-Sayed Nader, 1Hatem Abdelkader Saffan, 1Ihab Abdel Aziz El shafey
1Khaled Mohamed El-Asmar, 1Wael Ahmed Ghanem, 1Ahmed Bassiouny Arafa
1 Pediatric Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt
2 Pediatric Surgery unit, General Surgery Department, Faculty of Medicine, Aswan university, Aswan, Egypt
ABSTRACT
Objectives: Lower urinary tract dysfunction manifestations are commonly associated with defecation disorders in children. The study aimed to evaluate the effect of management of defecation disorders on improvement of associated urological manifestations.
Methods: The present study was conducted prospectively, including a group of children (age 4-15 years) with functional defecation disorders diagnosed based upon ROME III criteria and associated with urological problems. Patients were excluded if they have any organic cause of defecation disorders, history of previous colorectal surgery, congenital urological or neurological anomalies. They all were managed for functional defecation disorders and assessed for the effect of improvement of defecation disorders on resolution of urologic problems.
Data were analyzed statistically, qualitative data were described using number and percentage and quantitative data were presented as mean ± standard deviation or median.
Results: Over 3 years, 100 patients were included in the study (38% girls and 62 % boys); their mean age was 8.07±2.61 years. The functional defecation disorders were mainly functional constipation (FC) with or without overflow retentive stool incontinence (ORSI) in (87%) and the most common urinary manifestations were withholding maneuver (75%), urinary incontinence (73%) and urgency (71%).
There was significant effect of management of defecation disorders on the resolution of urological problems.
Conclusion: Functional connection between bowel and bladder dysfunction is confirmed and proper management of defecation problems has a significant effect on the resolution of urological disorders, and assessment of bowel habits is crucial in evaluation of lower urinary tracts complaints.