Wednesday, January 29, 2014

Voiding Dysfunction and Joint Hypermobility

The European Journal of Pediatrics published research on whether there is an increased prevalence of generalized joint hypermobility (GJH) in children with voiding dysfunction.  The participants included 226 children (5 to 14 years) including 113 patients diagnosed with voiding dysfunction and 113 sex/age/body mass index-matched normal children were recruited.  GJH was evaluated in both groups using the Beighton score (4 or more = hypermobile).

The results indicated the following:
  • GJH was significantly more frequent in the children with voiding dsyfunction than in controls
  • GJH was more prominent in girls than boys 
  • Urinary tract infection was the most frequent features in children with voiding dysfunction 
  • in the group with GJH and voiding dysfunction, urinary tract infection remained the most common manifestation among the girls while constipation was the most prevalent manifestation among the boys.
The researchers concluded that children with voiding dysfunction have significantly higher prevalence of GJH compared to normal children. Further studies are recommended to determine the cause and effect of GJH and voiding dysfunction to help develop a multidisciplinary approach in understanding and management of voiding dysfunction in children.

Reference:   Abdol-Mohammad Kajbafzadeh et al. Generalized joint hypermobility and voiding dysfunction in children: is there any relationship? European Journal of Pediatrics. February 2014, Volume 173, Issue 2, pp 197-201

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