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Dysfunctional Elimination Syndrome

MedGen UID:
889060
•Concept ID:
C4055108
•
Disease or Syndrome

Definition

Fecal constipation or impaction resulting in bowel and bladder dysfunction. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDysfunctional Elimination Syndrome

Professional guidelines

PubMed

Improvement in bladder function in children with functional constipation after a bowel management program.
Knaus ME, Ahmad H, Bourgeois T, Dajusta DG, Wood RJ, Fuchs ME
Pediatr Surg Int 2022 Oct;38(10):1473-1479. Epub 2022 Aug 5 doi: 10.1007/s00383-022-05157-4. PMID: 35930047Free PMC Article
Urotherapy in the treatment of children and adolescents with bladder and bowel dysfunction: a systematic review.
Assis GM, Silva CPCD, Martins G
J Pediatr (Rio J) 2019 Nov-Dec;95(6):628-641. Epub 2019 Apr 19 doi: 10.1016/j.jped.2019.02.007. PMID: 31009619
Functional bladder problems in children: pathophysiology, diagnosis, and treatment.
Franco I
Pediatr Clin North Am 2012 Aug;59(4):783-817. Epub 2012 Jun 15 doi: 10.1016/j.pcl.2012.05.007. PMID: 22857829

Recent clinical studies

Etiology

Assessment of pediatric bowel and bladder dysfunction: a critical appraisal of the literature.
Jiang R, Kelly MS, Routh JC
J Pediatr Urol 2018 Dec;14(6):494-501. Epub 2018 Aug 28 doi: 10.1016/j.jpurol.2018.08.010. PMID: 30297226Free PMC Article
Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Reliability and Validity of the Dutch Version.
't Hoen LA, Korfage IJ, Verhallen JT, van Ledden-Klok MJ, van den Hoek J, Blok BF, Scheepe JR
J Urol 2016 Aug;196(2):536-41. Epub 2016 Mar 11 doi: 10.1016/j.juro.2016.02.2973. PMID: 26976205
Advances in non-surgical treatments for urinary tract infections in children.
Yang SS, Chiang IN, Lin CD, Chang SJ
World J Urol 2012 Feb;30(1):69-75. Epub 2011 May 26 doi: 10.1007/s00345-011-0700-5. PMID: 21614468
Dysfunctional elimination behaviors and associated complications in school-age children.
Kistner M
J Sch Nurs 2009 Apr;25(2):108-16. Epub 2009 Feb 20 doi: 10.1177/1059840509331442. PMID: 19233931
Dysfunctional elimination syndrome as an etiology of idiopathic urethritis in childhood.
Herz D, Weiser A, Collette T, Reda E, Levitt S, Franco I
J Urol 2005 Jun;173(6):2132-7. doi: 10.1097/01.ju.0000157686.28359.c7. PMID: 15879866

Diagnosis

Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Hindi translation and validation.
Madaan A, Chhapola V, Tiwari S
Neurourol Urodyn 2023 Jun;42(5):1140-1151. Epub 2023 Apr 24 doi: 10.1002/nau.25183. PMID: 37092805
Bladder Bowel Dysfunction.
Aguiar LM, Franco I
Urol Clin North Am 2018 Nov;45(4):633-640. Epub 2018 Sep 7 doi: 10.1016/j.ucl.2018.06.010. PMID: 30316317
Assessment of pediatric bowel and bladder dysfunction: a critical appraisal of the literature.
Jiang R, Kelly MS, Routh JC
J Pediatr Urol 2018 Dec;14(6):494-501. Epub 2018 Aug 28 doi: 10.1016/j.jpurol.2018.08.010. PMID: 30297226Free PMC Article
Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Reliability and Validity of the Dutch Version.
't Hoen LA, Korfage IJ, Verhallen JT, van Ledden-Klok MJ, van den Hoek J, Blok BF, Scheepe JR
J Urol 2016 Aug;196(2):536-41. Epub 2016 Mar 11 doi: 10.1016/j.juro.2016.02.2973. PMID: 26976205
Functional bladder problems in children: pathophysiology, diagnosis, and treatment.
Franco I
Pediatr Clin North Am 2012 Aug;59(4):783-817. Epub 2012 Jun 15 doi: 10.1016/j.pcl.2012.05.007. PMID: 22857829

Therapy

Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Reliability and Validity of the Dutch Version.
't Hoen LA, Korfage IJ, Verhallen JT, van Ledden-Klok MJ, van den Hoek J, Blok BF, Scheepe JR
J Urol 2016 Aug;196(2):536-41. Epub 2016 Mar 11 doi: 10.1016/j.juro.2016.02.2973. PMID: 26976205
Sacral neuromodulation for the dysfunctional elimination syndrome: a 10-year single-center experience with 105 consecutive children.
Dwyer ME, Vandersteen DR, Hollatz P, Reinberg YE
Urology 2014 Oct;84(4):911-7. Epub 2014 Aug 2 doi: 10.1016/j.urology.2014.03.059. PMID: 25096339
Advances in non-surgical treatments for urinary tract infections in children.
Yang SS, Chiang IN, Lin CD, Chang SJ
World J Urol 2012 Feb;30(1):69-75. Epub 2011 May 26 doi: 10.1007/s00345-011-0700-5. PMID: 21614468
Animated biofeedback: an ideal treatment for children with dysfunctional elimination syndrome.
Kajbafzadeh AM, Sharifi-Rad L, Ghahestani SM, Ahmadi H, Kajbafzadeh M, Mahboubi AH
J Urol 2011 Dec;186(6):2379-84. Epub 2011 Oct 22 doi: 10.1016/j.juro.2011.07.118. PMID: 22019033
Dysfunctional elimination syndrome as an etiology of idiopathic urethritis in childhood.
Herz D, Weiser A, Collette T, Reda E, Levitt S, Franco I
J Urol 2005 Jun;173(6):2132-7. doi: 10.1097/01.ju.0000157686.28359.c7. PMID: 15879866

Prognosis

Bladder Bowel Dysfunction.
Aguiar LM, Franco I
Urol Clin North Am 2018 Nov;45(4):633-640. Epub 2018 Sep 7 doi: 10.1016/j.ucl.2018.06.010. PMID: 30316317
Quality of life outcomes in children with Hirschsprung disease.
Collins L, Collis B, Trajanovska M, Khanal R, Hutson JM, Teague WJ, King SK
J Pediatr Surg 2017 Dec;52(12):2006-2010. Epub 2017 Sep 2 doi: 10.1016/j.jpedsurg.2017.08.043. PMID: 28927976
Bladder control training in girls with lower urinary tract dysfunction.
Amira PA, Dušan P, Gordana ML, Sandra T, Ivaniševic I
Int Braz J Urol 2013 Jan-Feb;39(1):118-26; discussion 127. doi: 10.1590/S1677-5538.IBJU.2013.01.15. PMID: 23489504
Surgical aspects of child sexual abuse.
Raboei EH
Eur J Pediatr Surg 2009 Feb;19(1):10-3. Epub 2009 Feb 16 doi: 10.1055/s-2008-1038763. PMID: 19221946
Children with a febrile urinary tract infection and a negative radiologic workup: factors predictive of recurrence.
Mingin GC, Hinds A, Nguyen HT, Baskin LS
Urology 2004 Mar;63(3):562-5; discussion 565. doi: 10.1016/j.urology.2003.10.055. PMID: 15028458

Clinical prediction guides

Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Hindi translation and validation.
Madaan A, Chhapola V, Tiwari S
Neurourol Urodyn 2023 Jun;42(5):1140-1151. Epub 2023 Apr 24 doi: 10.1002/nau.25183. PMID: 37092805
Assessment of pediatric bowel and bladder dysfunction: a critical appraisal of the literature.
Jiang R, Kelly MS, Routh JC
J Pediatr Urol 2018 Dec;14(6):494-501. Epub 2018 Aug 28 doi: 10.1016/j.jpurol.2018.08.010. PMID: 30297226Free PMC Article
Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Reliability and Validity of the Dutch Version.
't Hoen LA, Korfage IJ, Verhallen JT, van Ledden-Klok MJ, van den Hoek J, Blok BF, Scheepe JR
J Urol 2016 Aug;196(2):536-41. Epub 2016 Mar 11 doi: 10.1016/j.juro.2016.02.2973. PMID: 26976205
Association between dysfunctional elimination syndrome and sensory processing disorder.
Pollock MR, Metz AE, Barabash T
Am J Occup Ther 2014 Jul-Aug;68(4):472-7. doi: 10.5014/ajot.2014.011411. PMID: 25005511
Non-neurogenic elimination disorders in children.
Leclair MD, Héloury Y
J Pediatr Urol 2010 Aug;6(4):338-45. Epub 2010 Feb 10 doi: 10.1016/j.jpurol.2010.01.006. PMID: 20149751

Recent systematic reviews

Urotherapy in the treatment of children and adolescents with bladder and bowel dysfunction: a systematic review.
Assis GM, Silva CPCD, Martins G
J Pediatr (Rio J) 2019 Nov-Dec;95(6):628-641. Epub 2019 Apr 19 doi: 10.1016/j.jped.2019.02.007. PMID: 31009619
Effectiveness of biofeedback for dysfunctional elimination syndrome in pediatrics: a systematic review.
Desantis DJ, Leonard MP, Preston MA, Barrowman NJ, Guerra LA
J Pediatr Urol 2011 Jun;7(3):342-8. Epub 2011 Apr 27 doi: 10.1016/j.jpurol.2011.02.019. PMID: 21527216

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