Psychosocial and respiratory disease related to severe bladder dysfunction and non-monosymptomatic enuresis

The social characteristics of our population (severe cases, socially deprived, very poor, not well educated, and with limited access to health care) determine a very specific sampling. Our research demonstrated that even severe cases of BD affecting socially deprived children may be treated, with adhesion to treatment and results comparable with other cohorts of BD, although the children need multidisciplinary attention and close follow-up. Boys, older children, and NME are more difficult to treat and often have other associated health and behavioral problems. Stress-related conditions were common in severe BD. A relatively high occurrence of precocious puberty was an unexpected finding in our research.Table. DataSignificantGeneral information11 males:24 females, mean follow-up 20.6 months, mean age 8.1 years-Respiratory/ENT problemsAny/Asthma/Symptomatic adenoid hypertrophy/Mouth breathing/Dysacusia (8.6%)Asthma, males predominance, p = 0.0058Neuropsychiatric problems/treatmentAnxiety/depression/Recurring headaches/migraine/Functional abdominal pain, symptomatic esophageal reflux/Hyperactivity disorder, extreme agitation/Autism/Epilepsy/Corpus callosum agenesisAnxiety/depression, males predominance, p = 0.0071, neuropsychiatric active treatment, males predominance, p = 0.0413Social problemsDysfunctional families/Non-parental custody/Violence/child abuse/Aggressiveness-Urological symptomsUTI/Infrequent voider/High frequency/Urge syndrome/Enuresis/Nocturia/Hematuria/Priapism/VulvovaginitisEnuresis, mouth breathers predominance, p = 0.0171, enuresis, absent for infrequent voiders, p = 0.0462