MP56-06 NON-NEUROGENIC VOIDING DYSFUNCTION AND NEUROPSYCHIATRIC DISORDERS

Abstract

You have accessJournal of UrologyPediatrics: Dysfunctional Voiding & Enuresis1 Apr 2018MP56-06 NON-NEUROGENIC VOIDING DYSFUNCTION AND NEUROPSYCHIATRIC DISORDERS Ryan Gillis, Nicholas Rocco, and Matthew Christman Ryan GillisRyan Gillis More articles by this author , Nicholas RoccoNicholas Rocco More articles by this author , and Matthew ChristmanMatthew Christman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1797AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Attention Deficit Hyperactivity Disorder (ADHD) is a common neuropsychiatric disorder that has been associated with an increased prevalence of voiding dysfunction in pediatric populations. However, there is a paucity of studies investigating whether a link exists between dysfunctional voiding and other pediatric neuropsychiatric conditions. We examined whether the diagnosis of seven different mental health disorders corresponded with an increased risk of comorbid urologic diagnoses. METHODS We performed a retrospective cohort study using the Military Health System Database. Children of active duty service members aged 5 to 17 years, with outpatient encounters between 1 JAN 2013 to 31 DEC 2015, were included. Using ICD-9 diagnostic codes, children with constipation, fecal incontinence, urinary incontinence, lower urinary tract symptoms (LUTS), nocturnal enuresis (NE), and urinary tract infections (UTI) were selected. Similarly, presence or absence of ADHD, anxiety, depression, obsessive-compulsive disorder (OCD), oppositional defiant disorder (ODD), Asperger Syndrome (AS), and autism in the population were determined. Frequencies and associations between urologic and neuropsychiatric conditions were analyzed with the chi-squared test. RESULTS 77,061 patients were identified. Prevalence of ADHD, anxiety, AS, autism, depression, OCD, and ODD during the study period were 4.97%, 1.11%, 0.29%, 0.82%, 0.78%, 0.12%, and 0.30%, respectively. The associations of each urological and behavioral health diagnosis category are shown in Table. Constipation was significantly more common with ADHD and autism. Fecal incontinence was significantly more common in ADHD, AS, and autism. Both incontinence and NE were more common in ADHD and ODD. Patients with a history of depression had higher rates of UTI. Patients with anxiety and OCD had no significant associations with the studied urologic diagnoses. CONCLUSIONS The treatment of several neuropsychiatric conditions may be complicated by coexistent urological disorders. Children with ADHD, Asperger syndrome, autism, and ODD appear to be at greater risk for one or more of these voiding and/or elimination dysfunctions. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e758 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Ryan Gillis More articles by this author Nicholas Rocco More articles by this author Matthew Christman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...