The relationship between the neurogenic bladder and constipation in children
Aim. To find clinical relationship between constipation and urinary incontinence ib children. Materials and methods. We investigated 50 patients with constipation, clinically supervised by proctologist in Zhitomir regional pediatric hospital. Surveillance period - 5 years. Results. Among all patients with impaired motor-evacuation function of the colon was observed following distribution: anorectal malformations (atresia of the anus) - 20 (40%) - (15 of them (75%) - fistulous form), 20 (40%) - lower form of the disease Hirschsprung, 10 (20%) - violation of the colon fixation (Paer’s syndrome). In 9 (18%) were of varying degrees dizrafii and myelodysplasia. The average age of the surveyed patients was 8.5 years. It found that 24 (48%) of children were different kinds of neurogenic bladder dysfunction (18 (75%), hypotonic or atonic bladder, and 6 (25%) hypertonic). 100% bladder dysfunction was observed in children with myelodysplasia. 6 patients with constipation in combination with myelodysplasia and concomitant urological pathology operated. A clinical case of a positive effect of combination therapy on colon and bladder function in children. Conclusion. Thus, in complex staged examination of patients with constipation should necessarily include urological examination (even in the absence of dysuria) for early detection of bladder dysfunction, its timely correction before the permanent impairment of renal function and death of the patient, reduce the phenomenon of social exclusion. In the case of timely detection and adequate treatment of the complex, it is possible to achieve good results.