LUTD and psychiatric conditions

There is an increased rate of psychological and behavioral problems in children with LUTD and NE.

Approximately 20-40% of children with NE and DUI and 30-50% of children with fecal incontinence have clinically relevant behavioral problems, classified according to DSMV. This may interfere with treatment and result outcome.

Children with NE + DUI

20-40%

Children with fecal incontinence

30-50%

Internalizing problems like separation anxiety depression (+ sleep/eating disorders) / phobias (11.4%), and emotional disorders can be present in children with LUTS. However, externalizing problems predominate. The most specific comorbid disorder with enuresis is Attention hyperactivity disorder (ADHD; 24.8%), oppositional behavior (10.9%), and conduct problems (11.8%). ADHD can negatively affect compliance and outcome.

Autism Spectrum Disorders (ASD) shows that children with ASD showed increased rates of NE and DUI in comparison to healthy children.

  • Children with urge incontinence have slightly higher rates of psychiatric disorders, predominantly internalizing, than control patients.
  • Children with voiding postponement do have higher rates of externalizing disorders such as ODD.
Lower urinary tract disorders | 3. Master the treatment of LUTD
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