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Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society

Journal article
Authors Stephen Yang
Michael E. Chua
Stuart Bauer
Anne Wright
Per Brandström
Piet Hoebeke
Søren Rittig
Mario de Gennaro
Elizabeth Jackson
Eliane Fonseca
Anka Nieuwhof-Leppink
Paul Austin
Published in Pediatric Nephrology
Volume 33
Issue 12
Pages 2207-2219
ISSN 0931041X
Publication year 2018
Published at Institute of Clinical Sciences, Department of Pediatrics
Pages 2207-2219
Language en
Keywords Bladder bowel dysfunction, Consensus statement, Urinary tract infection
Subject categories Pediatrics, Pediatric surgery


© 2017 IPNA Background: We present a consensus view from the International Children’s Continence Society (ICCS) on the evaluation and management of bladder bowel dysfunction (BBD) in children with urinary tract infection (UTI). The statement aims to highlight the importance of BBD in the development and recurrence of childhood UTI and its management to reduce its associated morbidity and sequelae. Methods: A systematic literature search was done on PubMed, Embase, and Scopus databases until August 15, 2016. Relevant publications concerning BBD and its relationship with UTI among children were reviewed and aggregated for statements of recommendation. Discussion by the ICCS Board and a multi-disciplinary core group of authors resulted in a document available on its website for all ICCS members to review. Insights and feedback were considered with consensus and agreement reached to finalize this position statement. Results: BBD in children with UTI is summarized. Details regarding epidemiology, pathophysiology, and recommendations for general and family practitioners and pediatricians relating to the evaluation and management of this condition are presented. Conclusions: This document serves as the position statement from ICCS, based on literature review and expert opinion providing our current understanding of BBD in children with UTI.

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