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Enuresis: current concepts
D E Greydanus1, A D Torres, D M O'Donnell
1Michigan State University College of Human Medicine, MSU/Kalamazoo Centre Medical Studies 49008-1284, USA.
Insights
This review covers childhood incontinence disorders, focusing on the physiology of urination, enuresis epidemiology, causes, and clinical management. It highlights neurological and kidney-related aspects of nocturnal enuresis in pediatric patients.
Area of Science:
- Pediatric Urology
- Clinical Nephrology
- Childhood Continence Disorders
Background:
- Incontinence disorders present significant clinical challenges in pediatric populations.
- Understanding the underlying mechanisms is crucial for effective management.
Purpose of the Study:
- To provide a comprehensive review of childhood incontinence disorders.
- To emphasize the neurological and nephrological aspects of enuresis.
Main Methods:
- Review of the physiology of micturition.
- Examination of enuresis epidemiology and etiology.
- Outline of clinical evaluation and management principles.
Main Results:
- Discussion encompasses the physiological basis of urination.
- Epidemiological data and etiological factors of incontinence are presented.
- Clinical approaches, laboratory evaluations, and management strategies are detailed.
Conclusions:
- Childhood incontinence requires a thorough understanding of physiological and etiological factors.
- Neurological and nephrological perspectives are key to managing enuresis effectively.
Abstract:
Incontinence disorders are an important group of problems that clinicians manage in children and adolescents. This paper reviews the physiology of micturition, the epidemiology of enuresis, etiologic concepts of incontinence disorders, a general clinical approach to enuretic patients, laboratory evaluation and general principles of management. Neurological and nephrological concepts of enuresis are emphasized in this discussion.