Prevalence of Bladder and Bowel Dysfunction in Children Scheduled for Outpatient Surgery: Evaluation of Functional Constipation and Lower Urinary Tract Symptoms
Neslihan Gülçin, Ceyhan ŞahinDepartment of Pediatric Surgery, University of Health Sciences Türkiye, Umraniye Training and Research Hospital, Istanbul, TürkiyeINTRODUCTION: 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.
Makale Dili: İngilizce