Abstract
Chronic functional constipation was confirmed by history, rectal examination, and rectal manometric studies in 20 of 26 children with enuresis. Treatment of constipation resulted in resolution of the enuresis. Uninhibited bladder contractions, observed in enuretic constipated children, were also noted in children with constipation alone, suggesting that constipation is a commonly unrecognized etiologic factor in enuresis.
Similar content being viewed by others
References
Abdel-Rahman M, Toppercer A, Duguay C, Watier A, Tétreault L, Arhan P, Devroede GH, Elhiali M (1981) Urorectodynamics in patients with colonic inertia. Urology 18: 428–432
Arhan P, Devroede G, Pellerin D (1979) Physiologie de la motricité de l'intestin terminal. Gastroenterol Clin Biol 3: 911–918
Aubert D, Destuynder O, Caetano D, Coche G, Cornuj Y, Gille P (1978) Le syndrome urorectal par incoordination abdomino-lévatorienne chez l'enfant. Chir Pediatr 28: 48–51
Bailey JA, Powers JJ, Wayeonis CW (1970) A clinical evaluation of electromyography of the anal sphincter. Arch Phys Med 51: 403–408
Baumann FW, Hinman F (1974) Treatment of incontinent boys with nonobstructive disease. J Urol 111: 114–116
Berger D (1986) Explorations functionnelles manometriques et électromyographiques de l'ano-rectum normal et pathologique. Chir Pediatr 27: 285–292
Berger RM, Maizels M, Moran GC (1983) Bladder capacity (ounces) equals age (years) plus 2 predicts normal bladder capacity and aids in diagnosis of abnormal voiding patterns. J Urol 129: 347–349
Doleys DM (1977) Behavioral treatments for nocturnal enuresis in children: a review of the recent literature. Psychol Bull 84: 30–54
Hinman F (1974) Urinary tract damage in children who wet. Pediatrics 54: 143–150
Kass EJ, Diokno AC, Montealegre A (1979) Enuresis: principles of management and result of treatment. J Urol 121: 794–796
Meunier P, Mollard P, Marechal JM (1976) Physiopathology of megarectum: the association of megarectum with encopresis. Gut 17: 224–227
O'Regan S, Yazbeck S, Schick E (1985) Constipation, unstable bladder, urinary tract infection syndrome. Clin Nephrol 5: 154–158
O'Regan S, Yazbeck S, Hamberger B, Schick E (1986) Constipation: a commonly unrecognized cause of enuresis. Am J Child Dis 3: 260–262
Poisson J, Devroede Gh (1983) Severe chronic constipation as a surgical problem. Surg Clin North Am 1: 193–217
Terho P, Kekomaki M (1984) Management of nocturnal enuresis with a vasopressin analogue. J Urol 131: 927–952
Revillon Y, Jehannin B, Pellerin D (1979) Les constipations de l'enfant. Chir Ped 20: 181–184
Sarahan T, Weintraub HW, Arnold CC, Welsey RJ (1982) The successful management of chronic constipation in infants and children. J Pediatr Surg 2: 171–173
Shopfner CE (1968) Urinary tract pathology associated with constipation. Radiology 90: 865–877
Smey P, Firtit CF, King LR (1978) Voiding pattern abnormalities in normal children: results of pharmacologic manipulation. J Urol 120: 574–577
Whiteside CG, Arnold EP (1975) Persistent primary enuresis: a urodynamic assessment. Br Med J 1: 364–367
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Anagnostopoulos, D., Mavromihalis, J., Markantonatos, A. et al. Constipation: a cause of enuresis. Pediatr Surg Int 4, 171–174 (1989). https://doi.org/10.1007/BF00181980
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00181980