{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T05:55:32Z","timestamp":1783749332966,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,2,11]],"date-time":"2013-02-11T00:00:00Z","timestamp":1360540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the effect of treating defecation problems on urinary incontinence in children suffering from combined urinary bladder and bowel dysfunction (<jats:styled-content style=\"fixed-case\">BBD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We established a clinical database from medical records of all children referred to the urinary incontinence and gastroenterology outpatient clinics with <jats:styled-content style=\"fixed-case\">BBD<\/jats:styled-content>. The following variables were extracted: symptoms of constipation, faecal incontinence, urinary incontinence, age at onset of symptoms, treatment, including duration and response. All children went through the same treatment protocol. Faecal disorders were treated primarily and once relieved, the daytime incontinence was managed and followed by intervention for nocturnal enuresis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 73 children were included in the study. The treatment regimen resulted in resolution of the defecation disorder in 96% of the patients. Of the children with daytime urinary incontinence, 68% had at least a 50% reduction in number of daytime incontinence episodes by successful relief of bowel dysfunction and 27% became completely continent during daytime. Only 17% of the children suffering from enuresis had a significant reduction in number of wet nights after relief of their faecal problem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The empirical treatment approach of managing bowel symptoms before intervening for bladder dysfunction in children with <jats:styled-content style=\"fixed-case\">BBD<\/jats:styled-content> is found to be appropriate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12158","type":"journal-article","created":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T17:16:16Z","timestamp":1359738976000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":62,"title":["Bladder and bowel dysfunction and the resolution of urinary incontinence with successful management of bowel symptoms in children"],"prefix":"10.1111","volume":"102","author":[{"given":"Luise","family":"Borch","sequence":"first","affiliation":[{"name":"Department of Pediatrics Aarhus University Hospital Skejby Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren","family":"Hagstroem","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Aarhus University Hospital Aalborg Sygehus Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy F","family":"Bower","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Aarhus University Hospital Skejby Aarhus Denmark"},{"name":"Institute of Clinical Medicine University of Aarhus Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Siggaard Rittig","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Aarhus University Hospital Skejby Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren","family":"Rittig","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Aarhus University Hospital 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