ESPU Congress 2017 - Abstract book

224

CONGRESS OF THE ESPU

08:36–08:39

S20-5 (PP)

★

PROLONGED TOILET TRAINING IN CHILDREN

WITH DOWN SYNDROME: A CASE- CONTROL STUDY

José Murillo NETTO

, Flávia Cristina De Carvalho MRAD

José BESSA JR.

and André Avarese FIGUEIREDO

1) Federal University of Juiz de Fora e Hospital e Maternidade Therezinha de Jesus da Faculdade de Ciên, Surgery/

Urology, Juiz De Fora, BRAZIL - 2) Federal University of Juiz de Fora, Surgery/Urology, Juiz De Fora, BRAZIL -

3) State University of Feira de Santana, Surgery/Urology, Feira De Santa, BRAZIL

PURPOSE

Children with Down syndrome (DS) have delayed psychomotor development, which determines

the level of difficulty in toilet training. The current study aims to estimate at what age they start and

complete toilet training compared to children with normal psychomotor development, as well as

to evaluate the toilet training method used and any association with lower urinary tract symptoms

(LUTS) and functional constipation.

MATERIAL AND METHODS

A case-control study was conducted between 2013 and 2015. All parents completed a question-

naire designed to assess the toilet training process. LUTS was assessed through the application of

the Dysfunctional Voiding Symptom Score. The presence of functional constipation was evaluated

according to the Rome III criteria.

RESULTS

The study included 93 children with DS and 204 children with normal psychomotor development

(Control Group- CG).The average age children started toilet training was 22.75 months in those with

DS and 17.49 months in the CG (p=0.001). In children with DS, the average age when completing

toilet training was 56.15 months and 27.06 months in the CG (p=0.001). Among children with DS,

females completed toilet training earlier (p=0.02). The toilet training method used most often was

child-oriented approach in both groups. There was no association with the presence of LUTS or

functional constipation and the age of beginning and completing toilet training in both groups.

CONCLUSIONS

Children with DS experienced prolonged toilet training time compared to normal ones. Females with

DS complete toilet training earlier. Age of finisshing toilet training was not associated with LUTS

or constipation. Other cohort studies are essential to gain insight into the toilet training process in

children with DS.