Haydarpasa Numune Med J. Ahead of Print: HNHJ-34392

Prevalence of Bladder and Bowel Dysfunction in Children Scheduled for Outpatient Surgery: Evaluation of Functional Constipation and Lower Urinary Tract Symptoms

Neslihan Gülçin, Ceyhan Þahin
University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkiye, Department of Pediatric Surgery

INTRODUCTION: To evaluate the frequency of bladder and bowel dysfunction (BBD), functional constipation, and lower urinary tract symptoms in pediatric patients undergoing outpatient surgical procedures.
METHODS: This prospective study included 100 children aged 5–18 years who were scheduled for circumcision, inguinal or umbilical hernia repair, or orchiopexy between August and December 2024. Bowel dysfunction was assessed using the Rome IV criteria, and urinary symptoms were evaluated with the Voiding and Bowel Dysfunction Symptom Score (VBDS). Patients with chronic diseases or previous urological/anorectal surgery were excluded.
RESULTS: The mean age was 7.22 ± 2.90 years, and 97% of patients were male. At least one lower urinary tract symptom was present in 47% of patients. VBDS scores ≥7 were detected in 18% of participants, but only 5% met the Rome IV criteria for functional constipation. The most common symptom was stool-holding behavior (44%), while only 2% had fecal incontinence. BBD was diagnosed in one patient (1%).
DISCUSSION AND CONCLUSION: Although the formal diagnosis of BBD was rare, urinary and bowel-related symptoms were common. Early identification and combined evaluation of urinary and bowel functions are essential for timely intervention and to prevent potential complications.

Keywords: Bladder and bowel dysfunction, Functional constipation, Lower urinary tract symptoms

---

Günübirlik Cerrahi Planlanan Çocuklarda Mesane ve Barsak Disfonksiyonu Prevalansý: Fonksiyonel Kabýzlýk ve Alt Üriner Sistem Semptomlarýnýn Deðerlendirilmesi

Neslihan Gülçin, Ceyhan Þahin
Saðlýk Bilimleri Üniversitesi Ümraniye Eðitim ve Aatþtýrma Hastanesi, Ýstanbul,Türkiye, Çocuk Cerrahisi Anabilim Dalý

GÝRÝÞ ve AMAÇ: Günübirlik cerrahi giriþim planlanan çocuk hastalarda mesane-barsak disfonksiyonu (BBD), fonksiyonel kabýzlýk ve alt üriner sistem semptomlarýnýn sýklýðýný deðerlendirmek.

YÖNTEM ve GEREÇLER: Bu prospektif çalýþmaya, Aðustos–Aralýk 2024 tarihleri arasýnda sünnet, inguinal/göbek fýtýðý onarýmý veya inmemiþ testis ameliyatý planlanan 5–18 yaþ arasý 100 çocuk dahil edildi. Barsak disfonksiyonu Roma IV kriterlerine göre, üriner semptomlar ise Ýþeme ve Barsak Disfonksiyonu Skorlamasý (ÝBSS) ile deðerlendirildi. Kronik hastalýðý olan ve daha önce ürolojik veya anorektal cerrahi geçirmiþ olan hastalar çalýþma dýþý býrakýldý.
BULGULAR: Ortalama yaþ 7,22 ± 2,90 yýl olup, hastalarýn %97’si erkekti. Hastalarýn %47’sinde en az bir alt üriner sistem semptomu mevcuttu. %18’inde ÝBSS skoru ≥7 idi; ancak sadece %5’i Roma IV kriterlerine göre fonksiyonel kabýzlýk tanýsý aldý. En sýk gözlenen semptom %44 ile dýþký tutma davranýþýydý. Gaita kaçýrma yalnýzca %2 hastada mevcuttu. BBD tanýsý sadece 1 hastaya (%1) konuldu.
TARTIÞMA ve SONUÇ: Her ne kadar BBD tanýsý alan hasta oraný düþük olsa da, üriner ve barsakla iliþkili semptomlar yaygýndý. Bu nedenle, erken taný ve üriner-barsak sistemin birlikte deðerlendirilmesi, komplikasyonlarýn önlenmesi ve uygun tedaviye yönlendirme açýsýndan önem taþýmaktadýr.

Anahtar Kelimeler: Mesane-barsak disfonksiyonu, Fonksiyonel kabýzlýk, Alt üriner sistem semptomlarý

---

CITE