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-...

Full description

Bibliographic Details
Main Authors: Eveline P N, Taralan Tambunan, Sri Rezeki S Hadinegoro
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2016-10-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/806
_version_ 1818033927367950336
author Eveline P N
Taralan Tambunan
Sri Rezeki S Hadinegoro
author_facet Eveline P N
Taralan Tambunan
Sri Rezeki S Hadinegoro
author_sort Eveline P N
collection DOAJ
description 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
first_indexed 2024-12-10T06:31:02Z
format Article
id doaj.art-f3f3d3ea69964b4f97c30561694f1e28
institution Directory Open Access Journal
issn 0030-9311
2338-476X
language English
last_indexed 2024-12-10T06:31:02Z
publishDate 2016-10-01
publisher Indonesian Pediatric Society Publishing House
record_format Article
series Paediatrica Indonesiana
spelling doaj.art-f3f3d3ea69964b4f97c30561694f1e282022-12-22T01:59:05ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2016-10-01452879210.14238/pi45.2.2005.87-92669Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo HospitalEveline P NTaralan TambunanSri Rezeki S HadinegoroBackground 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 caseshttps://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/806urinary incontinencemyelodysplasiarenal failureurinary tract infection
spellingShingle Eveline P N
Taralan Tambunan
Sri Rezeki S Hadinegoro
Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
Paediatrica Indonesiana
urinary incontinence
myelodysplasia
renal failure
urinary tract infection
title Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
title_full Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
title_fullStr Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
title_full_unstemmed Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
title_short Profiles of patients with urinary incontinence in the Department of Child Health, Cipto Mangunkusumo Hospital
title_sort profiles of patients with urinary incontinence in the department of child health cipto mangunkusumo hospital
topic urinary incontinence
myelodysplasia
renal failure
urinary tract infection
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/806
work_keys_str_mv AT evelinepn profilesofpatientswithurinaryincontinenceinthedepartmentofchildhealthciptomangunkusumohospital
AT taralantambunan profilesofpatientswithurinaryincontinenceinthedepartmentofchildhealthciptomangunkusumohospital
AT srirezekishadinegoro profilesofpatientswithurinaryincontinenceinthedepartmentofchildhealthciptomangunkusumohospital