Ignite Creation Date:
2024-05-06 @ 3:16 PM
Last Modification Date:
2024-10-26 @ 1:46 PM
Study NCT ID:
NCT04579731
Status:
COMPLETED
Last Update Posted:
2021-08-10
First Post:
2020-09-21
Brief Title:
Development of Fecal Scoring for the Management of Fecal Impaction With Regards to Lower Urinary Tract Dysfunction
Sponsor:
Seoul National University Hospital
Organization:
Seoul National University Hospital
Study Overview
Official Title:
Development of Fecal Scoring for the Management of Fecal Impaction With Regards to Lower Urinary Tract Dysfunction
Status:
COMPLETED
Status Verified Date:
2021-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The role of bowel bladder disorder or BBD has been highlighted as a major player in vesicoureteral reflux and urinary tract infection UTI However the diagnosis of BBD are still conceptual and subjective because of the diagnosis of constipation main pathophysiology in BBD has not been established well
Detailed Description:
Functional constipation is a common disorder among children accounting for 3-5 of visits to pediatric clinics and even 10 to 25 of consultation for pediatric gastroenterologists It could cause recurrent abdominal pain stool retention as well as fecal incontinence In the urologic field this is known to develop urinary symptoms Constipation has been associated with voiding dysfunction and urinary tract infection in children It is assumed that impacted stool in distal rectum mechanically affect the bladder leading to detrusor overactivity Additionally impacted stool would elevate the uretheral sphincter tone having patients void with incomplete sphincter relaxation and eliciting dysfunctional voiding Stool impaction may be the source of bacteria causing urinary tract infection and led to recurrent bacteriuria Treatment of constipation by itself is quite effective alleviating urologic symptoms in as much as two-third of the patients
The role of constipation has been highlighted as a major player in vesicoureteral reflux and urinary tract infection UTI The presence of bowel bladder disorder BBD was associated with higher risk of breakthrough infection and a lack of spontaneous resolution Although constipation is the major player in BBC there is any objective standard regarding the diagnosis and treatment of constipation Given the high prevalence and morbidity of children affected by UTI or VUR in relations to BBD it is imperative that diagnostic and treatment methods are developed
Despite the known implication of constipation the diagnosis of constipation may be problematic due to a lack of standard definition for this condition This may be due to different views between clinicians about which aspect are most crucial for diagnosing constipation Some underline the subjective nature such as infrequent or difficult defecation other stress the quality of stool still others were in search of objective criteria of constipation like the amount of impacted stool or colonic transit time Consequently various criteria have been reported
The lack of standard criteria for constipation causes trouble sometimes in making a proper decision for diagnosis intervention follow-up and discharge of treatment
The role of constipation has been highlighted as a major player in vesicoureteral reflux and urinary tract infection UTI The presence of bowel bladder disorder BBD was associated with higher risk of breakthrough infection and a lack of spontaneous resolution Although constipation is the major player in BBC there is any objective standard regarding the diagnosis and treatment of constipation Given the high prevalence and morbidity of children affected by UTI or VUR in relations to BBD it is imperative that diagnostic and treatment methods are developed
Despite the known implication of constipation the diagnosis of constipation may be problematic due to a lack of standard definition for this condition This may be due to different views between clinicians about which aspect are most crucial for diagnosing constipation Some underline the subjective nature such as infrequent or difficult defecation other stress the quality of stool still others were in search of objective criteria of constipation like the amount of impacted stool or colonic transit time Consequently various criteria have been reported
The lack of standard criteria for constipation causes trouble sometimes in making a proper decision for diagnosis intervention follow-up and discharge of treatment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None