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Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society

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Abstract

Background

We present a consensus view from the International Children’s Continence Society (ICCS) on the evaluation and management of bladder bowel dysfunction (BBD) in children with urinary tract infection (UTI). The statement aims to highlight the importance of BBD in the development and recurrence of childhood UTI and its management to reduce its associated morbidity and sequelae.

Methods

A systematic literature search was done on PubMed, Embase, and Scopus databases until August 15, 2016. Relevant publications concerning BBD and its relationship with UTI among children were reviewed and aggregated for statements of recommendation. Discussion by the ICCS Board and a multi-disciplinary core group of authors resulted in a document available on its website for all ICCS members to review. Insights and feedback were considered with consensus and agreement reached to finalize this position statement.

Results

BBD in children with UTI is summarized. Details regarding epidemiology, pathophysiology, and recommendations for general and family practitioners and pediatricians relating to the evaluation and management of this condition are presented.

Conclusions

This document serves as the position statement from ICCS, based on literature review and expert opinion providing our current understanding of BBD in children with UTI.

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Abbreviations

BBD:

Bladder bowel dysfunction

BSFS:

Bristol Stool Form Scale

DES:

Dysfunctional elimination syndrome

DV:

Dysfunctional voiding

DVSS:

Dysfunctional voiding symptom score

LUT:

Lower urinary tract

LUTD:

Lower urinary tract dysfunction

PVR:

Post-void residual urine

UTI:

Urinary tract infection

VUR:

Vesicoureteral reflux

VCUG:

Voiding cystourethrogram

VUDS:

Urodynamic and videourodynamic study

ACE:

Antegrade continence enema

CIC:

Clean intermittent catheterization

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Authors and Affiliations

  1. Department of Urology, Taipei Tzu-Chi Hospital, and Buddhist Tzu Chi University, Taipei, Taiwan

    Stephen Yang & Michael E. Chua

  2. Department of Urology, The Hospital for Sick Children, Toronto, ON, Canada

    Michael E. Chua

  3. Institute of Urology, St. Luke’s Medical Center, Quezon City, Philippines

    Michael E. Chua

  4. Department of Urology, Boston Children’s Hospital, Boston, MA, USA

    Stuart Bauer

  5. Department of Paediatric Nephrourology, Evelina Children’s Hospital, London, UK

    Anne Wright

  6. Department of Pediatrics, The Queen Silvia Children’s Hospital, Gothenburg, Sweden

    Per Brandström

  7. Department of Urology, Ghent University Hospital, Ghent, Belgium

    Piet Hoebeke

  8. Department of Pediatrics, Aarhus University, Aarhus, Denmark

    Søren Rittig

  9. Department of Urology, Bambino Gesù Children’s Hospital of Rome, Rome, Italy

    Mario De Gennaro

  10. Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Elizabeth Jackson

  11. Department of Pediatrics, Rio de Janeiro State University, Rio de Janeiro, Brazil

    Eliane Fonseca

  12. University Medical Centre-Wilhelmina Kinderziekenhuis, Utrecht, Netherlands

    Anka Nieuwhof-Leppink

  13. Department of Urology, St Louis Children’s Hospital, St. Louis, MO, USA

    Paul Austin

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  1. Stephen Yang
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Yang, S., Chua, M.E., Bauer, S. et al. Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society. Pediatr Nephrol 33, 2207–2219 (2018). https://doi.org/10.1007/s00467-017-3799-9

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  • DOI: https://doi.org/10.1007/s00467-017-3799-9

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