ABSTRACT

At first glance it may seem strange to devote a chapter in a textbook of pediatric urology to bowel care. However, congenital anomalies of the bowel and urinary tract frequently coexist, and constipation by itself may produce significant bladder dysfunction, leading to incontinence and urinary tract infection.1 The pediatric urologist must be conversant with these bowel problems and play an active role in their management. Both systems should always be assessed simultaneously, and with present surgical techniques, it is the urologist who is often best placed to treat both urinary and fecal incontinence synchronously.2