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Lower Urinary Tract Dysfunction in Children With Generalized Hypermobility of Joints

2003; Lippincott Williams & Wilkins; Volume: 170; Issue: 5 Linguagem: Inglês

10.1097/01.ju.0000091643.35118.d3

1527-3792

Laetitia M.O. de Kort, John A.P.M. Verhulst, Raoul Engelbert, Cuno S.P.M. Uiterwaal, Tom P.V.M. de Jong,

Hip disorders and treatments

No AccessJournal of UrologyPEDIATRIC UROLOGY1 Nov 2003Lower Urinary Tract Dysfunction in Children With Generalized Hypermobility of Joints LAETITIA M.O. de KORT, JOHN A.P.M. VERHULST, RAOUL H.H. ENGELBERT, CUNO S.P.M. UITERWAAL, and TOM P.V.M. de JONG LAETITIA M.O. de KORTLAETITIA M.O. de KORT , JOHN A.P.M. VERHULSTJOHN A.P.M. VERHULST , RAOUL H.H. ENGELBERTRAOUL H.H. ENGELBERT , CUNO S.P.M. UITERWAALCUNO S.P.M. UITERWAAL , and TOM P.V.M. de JONGTOM P.V.M. de JONG View All Author Informationhttps://doi.org/10.1097/01.ju.0000091643.35118.d3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed the relationship between general joint hypermobility (GJH) and lower urinary tract symptoms presenting as nonneurogenic bladder sphincter dysfunction in children. Materials and Methods: Parents of 89 children 5 to 12 years old who were diagnosed with GJH according to the Beighton and Bulbena scales were asked to fill out a questionnaire concerning symptoms of nonneurogenic bladder sphincter dysfunction, namely daytime urinary incontinence, nighttime urinary incontinence, urinary tract infection, constipation and fecal soiling. The control group comprised 116 healthy schoolchildren 5 to 12 years old. Results: Constipation was reported in 19% of boys with GJH and 4% of male controls (p = 0.02). Fecal soiling occurred more often in the GJH group than in the control group (34% versus 18%, p = 0.07). In girls daytime and nighttime urinary incontinence was more prevalent in the GJH group (38% and 14%, respectively) than in controls (13% and 2%, respectively, p = 0.004 and p = 0.02, respectively). Of girls with GJH 24% had a history of urinary tract infections compared with 11% of the control group (p = 0.08). Conclusions: In children with generalized hypermobility of joints symptoms of nonneurogenic bladder sphincter dysfunction are more prevalent. In boys this condition manifests as constipation and possibly fecal soiling, and in girls as urinary incontinence and possibly urinary tract infections. References 1 : Association between urinary symptoms at 7 years old and previous urinary tract infection. Arch Dis Child1991; 66: 232. Google Scholar 2 : Joint hypermobility and genetic collagen disorders: are they related?. Arch Dis Child1999; 80: 188. Google Scholar 3 : The benign hypermobile syndrome. Arthritis Rheum1980; 23: 1053. Google Scholar 4 : The hypermobility syndrome. Ann Rheum Dis1990; 49: 199. Google Scholar 5 : Heritable disorders of connective tissue. Bailliere's Best Pract Res Clin Rheumatol2000; 14: 345. Google Scholar 6 : Clinical assessment of hypermobility of joints: assembling criteria. J Rheumatol1992; 19: 115. Google Scholar 7 : Hypermobility scoring. 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Google Scholar From the Departments of Pediatric Urology (LMOdK, JAPMV, TPVMdJ) and Pediatric Physical Therapy (RHHE), and Clinical Epidemiology, Julius Center for Health Sciences and Primary Care (CSPMU), University Medical Center Utrecht, Utrecht, The Netherlands© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCanning D (2018) Re: Is Joint Hypermobility Associated with Vesico-Ureteral Reflux? An Assessment of 50 PatientsJournal of Urology, VOL. 188, NO. 5, (1942-1942), Online publication date: 1-Nov-2012.Beganović A, Klijn A, Dik P and De Jong T (2018) Ectopic Ureterocele: Long-Term Results of Open Surgical Therapy in 54 PatientsJournal of Urology, VOL. 178, NO. 1, (251-254), Online publication date: 1-Jul-2007. Volume 170Issue 5November 2003Page: 1971-1974 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsurination disorderspelvic floorjoint instabilitypediatricsMetricsAuthor Information LAETITIA M.O. de KORT More articles by this author JOHN A.P.M. VERHULST More articles by this author RAOUL H.H. ENGELBERT More articles by this author CUNO S.P.M. UITERWAAL More articles by this author TOM P.V.M. de JONG More articles by this author Expand All Advertisement PDF downloadLoading ...