1Pediatrician and Pediatric Neurologist Consultant, QCH, Alqatif, Saudi Arabia
2 Medical Student, Alfarabi College of Medicine, Alfarabi Colleges, Riyadh, Saudi Arabia
3Medical Student, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
4 Medical Student, Alfaisal College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
5Medical Student, Medical University of Warsaw, Warsaw, Poland
6 Medical Intern, Alfarabi College of Medicine, Alfarabi Colleges, Riyadh, Saudi Arabia
Background:Urinary incontinence UI (enuresis) is the symptom of involuntary urine loss which is a multidisciplinary and interdis- ciplinary problem. It is the commonest urinary symptom in children and adolescents and can lead to a long-term distress for the af- fected children and their parents. Incontinence is typically not diagnosed until 5 to 6 years of age. The age limit is focused on children who normally develop and thus will not be applicable to children with developmental retardation.
Objective:This study is conducted to determine the prevalence, risk factors and symptoms associated with urinary incontinence among Saudi children.
Methods:A community based cross-sectional study was conducted in different regions of Saudi Arabia from the period of 1 May to 30 August 2020. Study population included randomly selected participants (male and female Saudi children under 13 years old. Data was analyzed using statistical package for the social sciences (SPSS, version 16) and results were analyzed with frequencies and Chi- squared test as appropriate. P value was considered significant if < 0.05.
Results: 37.4% of children suffer from urinary incontinence. More than half of case 67.4% reported that they have UI only during sleep, 20.1% during sleep and waking up (most of the time) and 12.5% had UI during waking up. 15% reported that urinary incon- tinence problem increase with age. Only 5.1% reported that children suffer from pain during urination and 14.6% reported stomach or pelvic pain. 15.1% reported urine leakage occur during coughing or sneezing. 13.2% was previously diagnosed with a urinary tract disease or infection, 6.4% had family history with parents suffering from incontinence, 4.7% of children have nerve problems, 4.2% have muscle problems and 13.7% of children undergone a surgery before.
Conclusion: There is significant association between UI with child age and child gender which was more prevalent among male gen- der. Also, there is significant correlation between UI and age of mother and father of child, educational level of father and mother, the standard of living and if one of the parents or another child in the family suffer from the problem of enuresis.
Keywords: Urinary Incontinence; Enuresis; Urinary Incontinence in Children; Nocturnal Enuresis
Zakia Salman Kadhem., et al. “Urinary Incontinence among Children in Saudi Arabia”. EC Paediatrics 9.11 (2020): 75-87.
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