Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
Background Urinary incontinence (UI) in children is a form of wetting. Early diagnosis and treatment are mandatory to avoid complications such as recurrent urinary tract infections (UTI), vesicoureteral reflux (VUR), or renal damage. Objective To study the profiles and clinical course of UI in chil-...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Indonesian Pediatric Society Publishing House
2016-10-01
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| Series: | Paediatrica Indonesiana |
| Subjects: | |
| Online Access: | https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/806 |
| Summary: | Background Urinary incontinence (UI) in children is a form of
wetting. Early diagnosis and treatment are mandatory to avoid
complications such as recurrent urinary tract infections (UTI),
vesicoureteral reflux (VUR), or renal damage.
Objective To study the profiles and clinical course of UI in chil-
dren treated in Cipto Mangunkusumo Hospital.
Methods The study was divided into 2 parts. The first part was a
review of patients with UI at Cipto Mangunkusumo Hospital from
January 2000 to December 2003. The second was a case series
of patients followed up for at least 6 months.
Results There were 35 UI patients aged 3 months to 16 years,
mostly between 1 to 5 years old, 16 were males and 19 females.
The most prevalent etiology was myelodysplasia (15 cases) fol-
lowed by posterior urethral valve, and bladder tumor. The most
prominent clinical presentation of neurophatic bladder-sphincter
dysfunction was wetting, while those of patients with structural in-
continence and non-neuropathic bladder-sphincter dysfunction
were fever and polakysuria. Most patients had been suffering from
renal insufficiency since their first visit. Clean intermittent catheter-
ization (CIC) was the treatment of choice. In a six-month follow-up
of 14 patients who received adequate treatment, renal function
could be maintained at relatively stable condition in most cases.
Conclusions Myelodysplasia was the most common etiology of
UI. Most patients had renal insufficiency or renal failure since their
first visit, reflecting a extended period of relapse before patients
seek medical help. Renal function can be maintained by adequate
treatment in most cases |
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| ISSN: | 0030-9311 2338-476X |