Yildirim Ali, Uluocak Nihat, Atilgan Dogan, Ozcetin Mustafa, Erdemir Fikret, Boztepe Ozgur
Department of Forensic Medicine, Gaziosmanpasa University, Tokat, Turkey.
Urol J. 2011 Winter;8(1):38-42.
To evaluate the lower urinary tract symptoms (LUTS) in children that are exposed to sexual abuse.
Fifty-two patients, including 8 male and 44 female children/adolescents presented with sexual abuse to the outpatient clinics were evaluated retrospectively (group 1). In group 1, the subjects were categorized into sexual touch (n = 35) and sexual penetration (n = 17). All the patients were evaluated with a detailed medical history, physical examination, and a dysfunctional voiding and incontinence scoring system questionnaire. Thirty age-matched children were evaluated as a control group (group 2).
The mean age of the patients was 12.2 ± 3.6 years and 12.0 ± 4.5 years in groups 1 and 2, respectively (P = .848). The mean age of the subjects in sexual touch and sexual penetration groups was 10.8 ± 3.6 years and 14.9 ± 1.5 years, respectively. The difference between sexual touch and sexual penetration groups was statistically significant (P = .0001). The incontinence rate was 30.76% and 23.3% in groups 1 and 2, respectively. This difference was not statistically significant (P = .640). The rates of daytime incontinence, nocturnal enuresis, diurnal incontinence, urgency, and continence maneuvers were 25.7%, 17.1%, 22.9%, 42.9%, and 20%, respectively, in sexual touch group, while they were found to be 5.9%, 0%, 0%, 17.6%, and 5.9%, respectively, in sexual penetration group.
Although a significant association was not detected between sexual abuse and LUTS, it was seen that LUTS, such as urinary incontinence and urgency, were higher in children exposed to sexual abuse than the control group.
评估遭受性虐待儿童的下尿路症状（LUTS）。
回顾性评估52例患者，其中包括8名男童和44名女童/青少年，他们因遭受性虐待而到门诊就诊（第1组）。在第1组中，受试者被分为性接触组（n = 35）和性插入组（n = 17）。所有患者均接受详细的病史询问、体格检查以及排尿功能障碍和尿失禁评分系统问卷评估。选取30名年龄匹配的儿童作为对照组（第2组）。
第1组和第2组患者的平均年龄分别为12.2±3.6岁和12.0±4.5岁（P = 0.848）。性接触组和性插入组受试者的平均年龄分别为10.8±3.6岁和14.9±1.5岁。性接触组和性插入组之间的差异具有统计学意义（P = 0.0001）。第1组和第2组的尿失禁率分别为30.76%和23.3%。这种差异无统计学意义（P = 0.640）。性接触组的日间尿失禁、夜间遗尿、日间尿频、尿急和控尿动作发生率分别为25.7%、17.1%、22.9%、42.9%和20%，而性插入组分别为5.9%、0%、0%、17.6%和5.9%。
虽然未发现性虐待与下尿路症状之间存在显著关联，但可以看出，遭受性虐待的儿童出现尿失禁和尿急等下尿路症状的比例高于对照组。
