Halachmi Sarel, Farhat Walid A
Department of Urology, Rambam Medical Center, Haifa, Israel.
Int J Adolesc Med Health. 2008 Jan-Mar;20(1):17-22. doi: 10.1515/ijamh.2008.20.1.17.
The rate of constipation and bowel disorders is underestimated in children and adolescence who suffer from functional urinary tract disorders like enuresis and incontinence. The alimentary and the urinary systems act with a close anatomical and functional relation, malfunctioning of either system will affect the other. Children and adolescents with urinary dysfunctional symptoms have a higher rate of bowel disorders, including constipation and soiling, and vice versa. Assessment and treatment should always include both systems. Failure to detect and treat bowel problems will greatly reduce the success rate in the treatment of urinary symptoms. Dysfunctional symptoms in childhood could be a risk factor for increased rate of constipation and incontinence in adolescence and adulthood. This paper describes the normal development of voiding and defecation control, the effect of bowel disorders on the urinary system, and offers advice concerning the assessment and management of these patients.
在患有诸如遗尿症和尿失禁等功能性泌尿系统疾病的儿童和青少年中，便秘和肠道疾病的发生率被低估了。消化系统和泌尿系统在解剖学和功能上有着密切的联系，任何一个系统出现故障都会影响另一个系统。有泌尿功能障碍症状的儿童和青少年患肠道疾病（包括便秘和大便失禁）的几率更高，反之亦然。评估和治疗应始终涵盖这两个系统。未能检测和治疗肠道问题将大大降低泌尿系统症状的治疗成功率。儿童期的功能障碍症状可能是青少年期和成年期便秘和尿失禁发生率增加的一个风险因素。本文描述了排尿和排便控制的正常发育过程、肠道疾病对泌尿系统的影响，并提供了有关这些患者评估和管理的建议。
