Bladder bowel dysfunction in children with Down ’s syndrome
ConclusionThis study reviews the largest cohort of patients with BBD in DS. It is common with serious consequences requiring operative intervention. Usual interventions are unreliable due to poor compliance. Early identification and management protect the renal tract. Regular screening for urogenital anomalies in DS is currently not performed. We recommend a thorough history of bladder function in DS patients to identify these cases early.
Conclusions: Perception of opioids among patients who take them was either neutral or positive. However, 39.0% patients who have not been prescribed opioids did not want an opioid prescription, citing fear of addiction and side effects as the primary reasons. PMID: 32606268 [PubMed]
Conclusion: THD is an effective adjuvant and a potential alternative in reducing delayed and overall CINV. Other regimens might be added for CINV during the acute phase.
Conditions: Transgenderism; Catheter Related Complication Interventions: Device: Urethrotech Urethral catheterisation device (UCD); Device: Bardia Aquafil long term catheter Sponsors: University College, London; St Peter's Andrology Centre; University College London Hospitals Not yet recruiting
Authors: Wang QS, Liu Y, Zou XN, Ma YL, Liu GL Abstract Background: It is essential to determine a safe and effective method for treating constipation after stroke. Massage has been widely used in recent years. However, meta-analysis data on the efficacy of massage for the treatment of constipation experienced after stroke are almost nonexistent. Objective: This review aimed to examine the effectiveness of using massage therapy to treat constipation in patients who suffered a stroke event. Methods: This systematic review adhered to the reporting guidelines for Preferred Reporting Items for Systematic Review...
Conclusions: Bladder/bowel dysfunction is common in patients with VUR that increases the risk of breakthrough urinary tract infections in children receiving antibiotic prophylaxis and reduces the success rate for endoscopic injection therapy. Therefore investigation of voiding dysfunction with primary assessment tools can be used prior to treating VUR.
Conclusions These results show that being female and infrequent voiding constit uted significant risk factors for a diagnosis of febrile UTI in these children.
Conclusion In the Egyptian community, pinworm infestation, UTI, constipation, and overconsumption of caffeine-containing beverages are potential reversible risk factors for MNE in school-age children.
BACKGROUND: Little generalizable information is available on the outcomes of children diagnosed with bladder and bowel dysfunction (BBD) after a urinary tract infection (UTI). Our objectives were to describe the clinical characteristics of children with BBD and to examine the effects of BBD on patient outcomes in children with and without vesicoureteral reflux (VUR). METHODS: We combined data from 2 longitudinal studies (Randomized Intervention for Children With Vesicoureteral Reflux and Careful Urinary Tract Infection Evaluation) in which children
Authors: de Azevedo RV, Oliveira EA, Vasconcelos MM, de Castro BA, Pereira FR, Duarte NF, de Jesus PM, Vaz GT, Lima EM Abstract INTRODUCTION: The lower urinary tract dysfunction (LUTD) corresponds to changes in the filling or emptying of urine caused by neurogenic, anatomical and functional alterations. OBJECTIVE: To evaluate the impact of treatment in children and adolescents with LUTD. METHODS: Historical cohort of 15 year follow-up with the participation of 192 patients (123F, 69M), aged 0.1 to 16.8 years, analyzed at admission (T0) and at final follow-up (T1). Most patients belong to a neurologic bladde...
CONCLUSIONS: This subgroup of patients with clinical characteristics of an overactive bladder, with no history of urinary tract infection, and normal urinary tract ultrasound and uroflowmetry, could start treatment without invasive studies even at a tertiary center. Approximately one-third of the patients treated at the tertiary level remained refractory to treatment. PMID: 26392219 [PubMed - as supplied by publisher]