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The Role of Bowel Management in Children with Bladder and Bowel Dysfunction

  • Pediatric Voiding Dysfunction (Douglas Clayton and John Thomas, Section Editors)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Bladder and bowel dysfunction is a common pediatric disorder that involves lower urinary tract symptoms (LUTS) as well as constipation and/or encopresis. Effective treatment of constipation in these patients leads to resolution or improvement of urinary symptoms in the majority of cases. Because many of these children initially present to the urologist with the primary complaint of LUTS, it is important for the consulting specialist to be well-versed on the topic of constipation. This review aims to provide an evidence-based guide on the evaluation and management of constipation in children.

Recent Findings

Recent papers have improved our knowledge on the utilization of interventions such as antegrade continence enemas and sacral nerve stimulation for more recalcitrant cases of constipation. Although there have been limited advancements in the use of pharmacologic therapies for the treatment of constipation in children, it is hoped that newer therapeutic agents proven effective for adult constipation will gain pediatric use over time.

Summary

Present therapy for constipation in BBD is effective for the majority of patients. There is promise for further improvement in treatment options in the near future.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Funding

This research was supported in part by the National Institutes of Health T32 training grants awarded to the Vanderbilt University Medical Center under award numbers T32GM007569 and T32DK007663.

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Authors and Affiliations

  1. Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA

    Christiana J. Bernal, Michael Dole & Kirk Thame

  2. Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Monroe Carell Jr. Children’s Hospital at Vanderbilt, 2200 Children’s Way, Nashville, TN, 37232, USA

    Kirk Thame

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  1. Christiana J. Bernal
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  2. Michael Dole
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  3. Kirk Thame
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Correspondence to Kirk Thame.

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Drs Bernal, Dole, and Thame have no financial relationships relevant to this article to report.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Pediatric Voiding Dysfunction

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Bernal, C.J., Dole, M. & Thame, K. The Role of Bowel Management in Children with Bladder and Bowel Dysfunction. Curr Bladder Dysfunct Rep 13, 46–55 (2018). https://doi.org/10.1007/s11884-018-0458-3

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