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28
TH
CONGRESS OF THE ESPU
09:30–09:40
S1-2 (LO)
FRUCTOSE INTOLERANCE AS A CAUSE OF BLADDER
AND BOWEL DYSFUNCTION
Hanny COBUSSEN-BOEKHORST
1
, Jet VAN KUPPENVELD
2
and Barbara KORTMANN
3
1) University Center Radboudumc, Pediatric Urology, Nijmegen, NETHERLANDS - 2) University Center Radboudumc,
Psychology, Nijmegen, NETHERLANDS - 3) University Center Radboudumc, Pediatirc Urology, Nijmeen,
NETHERLANDS
PURPOSE
In about 80% urotherapy is a successful conservative treatment for children with overactive bladder
(OAB) or dysfunctional voiding.
Regularly, other problems appear during training which can influence the effect of urotherapy.
The aim is to describe a case in which fructose intolerance appeared to be the main cause of
bladder and bowel dysfunction.
MATERIAL AND METHODS
A retrospective analysis of the medical, nursing and psychological history of a girl with overactive
bladder wet, small bladder capacity and defecation problems was done.
RESULTS
A5 yr old girl was referred to our hospital after recurrent pyelonephritis.She had a history of
cow’s milk intolerance, nose bleedings, and a traumatic experience of hospital admissions. Her
father was recently diagnosed with celiac disease.
Because of a deviated urinary stream a meatal correction was performed and voiding pattern
improved temporarily.
At the age of 6 yrs urotherapy plus psychologic support was initially successful in combination
with a gluten free diet, antibiotic prophylaxis and laxatives. After 6 months complaints worsened.
Anticholinergics were added, but interrupted because of severe side-effects.
Celiac disease was not confirmed. Finally, fructose intolerance was diagnosed. Anticholinergics and
laxatives contain fructose.
After 3 months of fructose-free diet the stomach pain, nose bleedings, bladder and bowel problems
were much better. Antibiotics were stopped. One year later she is still doing well on a strict fructose-
free diet.
CONCLUSIONS
Fructose intolerance is a rare condition. But in specific refractory complaints a food intolerance
should be considered.
09:40–09:50
S1-3 (LO)
ADDED VALUE OF MICTURITION DIARY IN CHILDREN
Gunter DE WIN, Sigrid VAN DE BORNE, Natalia ZABEGALINA, Stefan DE WACHTER
and Karen DE BAETS
University Hospital of Antwerp, Urology, Edegem, BELGIUM
PURPOSE
Just based on a case history, making a right therapy decision can be difficult in children with Lower
urinary tract symptoms (LUTS). Often analyses are unstructured.