Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Current Bladder Dysfunction Reports
Published in: Current Bladder Dysfunction Reports 3/2017

01-09-2017 | Pediatric Bladder Dysfunction (S Hodges, Section Editor)

Enema Regimen in Pediatric Bladder Dysfunction

Author: Steve J. Hodges

Published in: Current Bladder Dysfunction Reports | Issue 3/2017

Login to get access

Abstract

Purpose of Review

In this review, we will describe the techniques which we have developed to properly diagnose the constipation component of pediatric bowel and bladder disorders (BBD) in children and the treatment techniques that most rapidly and effectively resolve these issues.

Recent Findings

Constipation is commonly understood to be a major component of dysfunctional elimination syndrome in children. All methodologies described for the treatment of overactive bladder dysfunction in the pediatric population include the treatment of constipation as a critical component.

Summary

Diagnostic techniques that remain inconclusive are best used to diagnose constipation and the treatment modalities most ideally suited to address bowel dysfunction in these patients.
Literature
1.
Milanovic D, Sremcevic D, Perovic S, Scepanovic D, Krstic Z. Stenosis of the external urethral opening as one of the causes of recurrent urinary infections in girls--surgical treatment. Acta Chir Iugosl. 1989;36:229–37.PubMed
2.
• Palmer LS. Biofeedback in the management of urinary continence in children. Curr Urol Rep. 2010;11:122–7. Discuss biofeedback development.
3.
Hinman F Jr. Nonneurogenic neurogenic bladder (the Hinman syndrome)—15 years later. J Urol. 1986;136:769–77.CrossRefPubMed
4.
Sillén U. Bladder Dysfunction and Vesicoureteral Reflux Adv Urol. 2008; 2008: 815472.
5.
Yeung CK. The normal infant bladder. Scand J Urol Nephrol Suppl. 1995;173:19–23.PubMed
6.
Zerin JM, Chen E, Ritchey ML, Bloom DA. Bladder capacity as measured at voiding cystourethrography in children: relationship to toilet training and frequency of micturition. Radiology. 1993;187:803–6.CrossRefPubMed
7.
Richardson I, Palmer LS. Clinical and urodynamic spectrum of bladder function in cerebral palsy. J Urol. 2009;182:1945–8.CrossRefPubMed
8.
Hodges SJ, Patel B, McLorie G, Atala A. Posterior urethral valves. Sci World J. 2009;9:1119–26.CrossRef
9.
10.
Madersbacher H. Neurogenic bladder dysfunction in patients with myelomeningocele. Curr Opin Urol. 2002;12:469–72.CrossRefPubMed
11.
Franco I. New ideas in the cause of bladder dysfunction in children. Curr Opin Urol. 2011;21:334–8.CrossRefPubMed
12.
13.
14.
O’Regan S, Schick E, Hamburger B, Yazbeck S. Constipation associated with vesicoureteral reflux. Urology. 1986;28:394–6.CrossRefPubMed
15.
O’Regan S, Yazbeck S. Constipation: a cause of enuresis, urinary tract infection and vesico-ureteral reflux in children. Med Hypotheses. 1985;17:409–13.CrossRefPubMed
16.
O’Regan S, Yazbeck S, Hamberger B, Schick E. Constipation a commonly unrecognized cause of enuresis. Am J Dis Child. 1986;140:260–1.PubMed
17.
O’Regan S, Yazbeck S, Schick E. Constipation, bladder instability, urinary tract infection syndrome. Clin Nephrol. 1985;23:152–4.PubMed
18.
19.
Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics. 1997;100:228–32.CrossRefPubMed
20.
Hinman F. Urinary tract damage in children who wet. Pediatrics. 1974;54:143–50.PubMed
21.
Breda G, Bianchi GP, Bonomi U, Piacentini I, Farello G. Faecal stasis and bacteriuria: experimental research in rats. Urol Res. 1975;2:155–7.CrossRefPubMed
22.
• Soave F. Megacolon: long-term results of surgical treatment. Prog Pediatr Surg. 1977;10:141–9. 30 year study on Duhamel operations and their effect on Hirschsprung’s Disease.
23.
Bailey JA, Powers JJ, Waylonis GW. A clinical evaluation of electromyography of the anal sphincter. Arch Phys Med Rehabil. 1970;51:403–8.PubMed
24.
Peeters B, Benninga MA, Hennekam RC. Childhood constipation; an overview of genetic studies and associated syndromes. Best Pract Res Clin Gastroenterol. 2011;25:73–88.CrossRefPubMed
25.
Barone JG, Jasutkar N, Schneider D. Later toilet training is associated with urge incontinence in children. J Pediatr Urol. 2009;5:458–61.CrossRefPubMed
26.
Aspirot A, Fernandez S, Di Lorenzo C, Skaggs B, Mousa H. Antegrade enemas for defecation disorders: do they improve the colonic motility? J Pediatr Surg. 2009;44:1575–80.CrossRefPubMed
27.
He W, Chen M, Zu X, Li Y, Ning K, Qi L. Chronic prostatitis presenting with dysfunctional voiding and effects of pelvic floor biofeedback treatment. BJU Int. 2010;105:975–7.CrossRefPubMed
28.
29.
Lakshminarayanan B, Kufeji D, Clayden G. A new ultrasound scoring system for assessing the severity of constipation in children. Pediatr Surg Int. 2008;24:1379–84.CrossRefPubMed
30.
•• Levitt M, Peña A. Update on paediatric faecal incontinence. Eur J Pediatr Surg. 2009;19(1):1. Study on the fecal incontinence and its effect.
31.
Mosiello G, Marshall D, Rolle U, Crétolle C, Santacruz BG, Frischer J, et al. Consensus review of best practice of transanal irrigation in children. J Pediatr Gastroenterol Nutr. 2017 Mar;64(3):343–52.CrossRefPubMed
32.
Ellsworth P, Caldamone A. Pediatric voiding dysfunction: current evaluation and management. Urol Nurs. 2008;28:249–57. 283; quiz 258.PubMed
Metadata
Title
Enema Regimen in Pediatric Bladder Dysfunction
Author
Steve J. Hodges
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 3/2017
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0447-y

Other articles of this Issue 3/2017

Current Bladder Dysfunction Reports 3/2017 Go to the issue

Inflammatory/Infectious Bladder Disorders (MS Mourad, Section Editor)

Diagnosis and Treatments for Vesico-Enteric Fistulas: a 2017 Current Review

Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Management of Patients with Concurrent Pelvic Organ Prolapse and Lower Urinary Tract Symptoms—Impact on Lower Urinary Tract Symptoms Following Prolapse Repair

Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Bulking Agents in the Management of Urinary Incontinence: Dead or Alive?

Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Anti-incontinence Surgery in High-Risk Male Patients with Stress Urinary Incontinence—an Updated Review

Pediatric Bladder Dysfunction (SJ Hodges, Section Editor)

Endoscopic Treatment of Vesicoureteral Reflux

Pediatric Bladder Dysfunction (SJ Hodges, Section Editor)

Reliability and Reproducibility of Pediatric Urodynamic Studies