Özet:

The Evaluation of Urinary Incontinence in Preschool Age Children Introduction: The urinary incontinence can be classified as organic and functional in children. In the etiology of the functional voiding disorders such as urge incontinence, lazy bladder and dysfunctional voiding several theories have been proposed. However, the exact etiology or patho- genetic mechanisms of the functionel urinary incontinence are not completely understood. It can be considered that toilet training or life style may be important in the etioloy of the urinary incontinence in preschool children. The aim of this study was to evaluate the voiding features of the children aged between 5-6 years. Materials and Methods: Between May 2010 and August 2010 a total of 271 children aged between 5-6 years were included to the study. The approval of the hospital ethics committee and written informed consent were obtained. Children were evaluated with dysfunctional voiding and incontinence symptoms score questionnaire. Children with neurogenic bladder, vesicoureteral reflux, metabolic disor- der, history of recurrent urinary tract infection were exclu- ded from the study. Results: Urinary incontinence was detected in 107 child- ren 39.5% . The mean age of the children with or without urinary incontinence was 5.81±0.39 year and 5.88±0.33 years, respectively p=0.142 . There were no statistically significant difference in children with or without urinary incontinence in terms of body mass index, paternal or maternal age or duration of breastfeeding p>0.05 Table 1 . The quality of life was affected negatively in 69 children 64.5% with urinary incontinence. In contrast the quality of life was affected negatively only in 25 children 15.2% without urinary incontinence. The quality of life was 12.05 fold worse in children with urinary incontinence than in children without urinary incontinence. Conclusion: Although in this study, it is revealed that uri- nary incontinence rates were relatively higher compared to literature in preschool age children studies in larger, ran- domised and controlled series are needed to confirm these results

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