Role of the treatment of functional constipation for improving voiding dysfunctions

Objective: Accompaniment of voiding dysfunctions in patients who suffer from CFC (Chronic Functional Constipation) is a frequent condition. OAB (Overactive Bladder), VP (Voiding Postponement) and DV (Dysfunctional Voiding) are the most frequently accompanying types of voiding disorders to CFC. We aimed to demonstrate both the most accompanying type of voiding dyfunction to CFC and the most treatment -responsive type of voiding dysfunction to CFC treatment. So it will be clear that which types of voiding dysfunctions can be treated by only standart therapy of CFC or need further treatment methods like medication, biofeedback therapy or neuromodilation. Methods: Seventy-three patients who suffered both from CFC and voiding dyfunctions were examined in the Clinic of Pediatric Surgery of Tepecik Training and Research Hospital between 2007 and 2013, and 44 of them who had been treated succesfully with CFC, and had regular bowel functions were evaluated in the light of anamnesis, examination, and laboratory findings. Results: Forty-four [19 (43.2 %) boys, and 25 (56.8%) girls] patients (aged between 5-13 years) whose treatments were successful, and as a result recovered their regular bowel movements were included in the study. The distribution of the voiding dysfunctions in our patient group who suffered from CFC were as follows; OAB(n=31; 70.4 %), DV (n=10; 22.7 %) and VP (n=3; 6.8 %). The recovery rates of voiding dysfunctions in our patients after succesful treatment of CFC were; Full recovery (n=18; 40.9 %), recovery (n=9; 20.4 %), partial recovery (n=8; 18.2 %) and no improvement (n=9; 20.4 %). Conclusion: In CFC patients the dilated rectum filled with feces squeezes the bladder and disrupts both filling and emptying functions. The most accompanying voiding dysfunction to CFC is OAB. The best recovery is seen in OAB and VP after the successful treatment of CFC. DV gives the least response to the successful treatment of CFC.