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Cited by 76Urinary Bladder and Prostate ResearchConnective tissue disorders researchPediatric Urology and Nephrology Studies

Lower Urinary Tract Dysfunction in Children With Generalized Hypermobility of Joints

de KORT, LAETITIA M.O., VERHULST, JOHN A.P.M., ENGELBERT, RAOUL H.H., UITERWAAL, CUNO S.P.M., de JONG, TOM P.V.M.·2003·Journal of Urology
DOI 10.1097/01.ju.0000091643.35118.d3
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Abstract

Purpose We assessed the relationship between general joint hypermobility (GJH) and lower urinary tract symptoms presenting as nonneurogenic bladder sphincter dysfunction in children. Materials and methods Parents of 89 children 5 to 12 years old who were diagnosed with GJH according to the Beighton and Bulbena scales were asked to fill out a questionnaire concerning symptoms of nonneurogenic bladder sphincter dysfunction, namely daytime urinary incontinence, nighttime urinary incontinence, urinary tract infection, constipation and fecal soiling. The control group comprised 116 healthy schoolchildren 5 to 12 years old. Results Constipation was reported in 19% of boys with GJH and 4% of male controls (p = 0.02). Fecal soiling occurred more often in the GJH group than in the control group (34% versus 18%, p = 0.07). In girls daytime and nighttime urinary incontinence was more prevalent in the GJH group (38% and 14%, respectively) than in controls (13% and 2%, respectively, p = 0.004 and p = 0.02, respectively). Of girls with GJH 24% had a history of urinary tract infections compared with 11% of the control group (p = 0.08). CONCLUSIONS In children with generalized hypermobility of joints symptoms of nonneurogenic bladder sphincter dysfunction are more prevalent. In boys this condition manifests as constipation and possibly fecal soiling, and in girls as urinary incontinence and possibly urinary tract infections.

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  • Several studies have identified an increased prevalence of urinary incontinence in hypermobile pediatric case-controlled studies.

    “Several studies have identified an increased prevalence of urinary incontinence in hypermobile pediatric case-controlled studies [22, 48, 49].”

    From Pediatric joint hypermobility: a diagnostic framework and narrative review (2023) · cites this paper as [49]

  • There is increasing evidence for lower urinary tract dysfunction as part of the clinical presentation of symptomatic hypermobility.

    “There is increasing evidence for the presence of lower urinary tract dysfunction, defined using the NDDIK criteria [39], as part of the clinical presentation of symptomatic hypermobility”

    From Pediatric joint hypermobility: a diagnostic framework and narrative review (2023) · cites this paper as [49]

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Authors
de KORT, L. M. O., VERHULST, J. A. P. M., ENGELBERT, R. H. H., UITERWAAL, C. S. P. M., & de JONG, T. P. V. M.
Affiliations
  • From the Departments of Pediatric Urology (LMOdK, JAPMV, TPVMdJ) and Pediatric Physical Therapy (RHHE), and Clinical Epidemiology, Julius Center for Health Sciences and Primary Care (CSPMU), University Medical Center Utrecht, Utrecht, The Netherlands
  • University Medical Center Utrecht (NL)
ORCID
Venue
Journal of Urology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2003-11
Volume
170
Issue
5
Pages
1971-1974
ISSN
  • 0022-5347 (ISSN-L)
  • 1527-3792
DOI
10.1097/01.ju.0000091643.35118.d3
OpenAlex
W2025422100
Cited by
76
References
3
Citations by year
2026: 2 · 2025: 5 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 1 · 2017: 8 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 2 · 2012: 5
FWCI
2.32
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of Urology (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Urology and Nephrology Studies
Keywords
generalized joint hypermobility, lower urinary tract dysfunction, urinary incontinence, fecal soiling, constipation, urinary tract infection, children, sex differences
MeSH terms
Child, Child, Preschool, Constipation, Data Interpretation, Statistical, Enuresis, Fecal Incontinence, Female, Humans, Joint Instability, Male, Retrospective Studies, Sex Factors, Urinary Incontinence, Urinary Tract Infections, Pelvic Floor

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