Makosiej Ryszard, Leśniak Danuta, Skłodowska Ewa, Grzybowska Krystyna, Suski Sławomir, Czkwianianc Elzbieta, Sordyl Beata, Płaneta-Malecka Izabela
Klinika Gastroenterologii, Instytut Centrum Zdrowia Matki Polki, ul. Rzgowska 281/289, 93-338 Lodz , Poland.
Med Wieku Rozwoj. 2006 Apr-Jun;10(2):493-500.
was the evaluation of dependencies occurring between constipation and observed nocturia, pressing tenesmus and daytime urinary incontinence.
the studies were conducted in 51 children aged between 3 and 17 years including 25 girls and 26 boys hospitalized in the Clinical Department because of nocturia, pressing tenesmus and daytime urinary incontinence. In all children a complex diagnostic work up of the urinary system and the lower segment of alimentary tract was performed. Results of the examinations were compared to the control group.
analysis of the results of the conducted examinations indicates that the overblown rectal ampulla, through the pressure exerted on the urinary bladder, seemingly decreases its volume causing the occurrence of pressing tenesmus, nocturia and daytime urinary incontinence. This process leads to the formation of detrusor hyperactivity syndrome characterized by: chronic constipation, increase of miction frequency and simultaneous decrease of volume of each portion of urine, nocturia and/or daytime urinary incontinence.
chronic constipation disturbs the functional-morphological equilibrium between the end segment of alimentary tract and the urinary bladder. By influencing the process of filling and accumulation of urine in the bladder they lead to the formation of detrusor hyperactivity syndrome.
评估便秘与观察到的夜尿症、里急后重和日间尿失禁之间的相关性。
对51名年龄在3至17岁之间的儿童进行了研究，其中包括25名女孩和26名男孩，他们因夜尿症、里急后重和日间尿失禁而入住临床科室。对所有儿童进行了泌尿系统和消化道下段的综合诊断检查。将检查结果与对照组进行比较。
对所进行检查结果的分析表明，扩张的直肠壶腹通过对膀胱施加压力，似乎会减小其容量，从而导致里急后重、夜尿症和日间尿失禁的发生。这个过程会导致逼尿肌活动亢进综合征的形成，其特征为：慢性便秘、排尿频率增加以及每次尿量同时减少、夜尿症和/或日间尿失禁。
慢性便秘会扰乱消化道末端与膀胱之间的功能形态平衡。通过影响膀胱内尿液的充盈和积聚过程，它们会导致逼尿肌活动亢进综合征的形成。
