A patient may experience both enuresis and constipation. In some patients these are independent processes but in others the two may be related.
Patient selection: enuresis and constipation
Rodriguez-Ruiz et al divided patients into 2 groups:
(1) monosymptomatic enuresis (no lower urinary tract symptoms and no bladder dysfunction)
(2) non-monosymptomatic enuresis (recurrent urinary tract infection, VU reflux, daytime symptoms)
For patients with monosymptomatic enuresis, enuresis and constipation tended to be independent of each other. For non-monosymptomatic patients, the two conditions tended to be related.
Situations where the 2 conditions may be related:
(1) direct compression on the bladder, including megarectum
(2) neurologic dysfunction affecting both urinary tract and colorectum
(3) certain psychological dynamics
