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Neurogenic and non-neurogenic bladder dysfunction.

¹Department of Paediatric Urology, Sophia Children's Hospital, Rotterdam, The Netherlands. nijman@urol.azr.nl

Current Opinion in Urology

|December 6, 2001

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This study clarifies bladder dysfunction in children. It differentiates between neuropathic bladder issues and functional incontinence in neurologically normal children, detailing various treatment options and new surgical developments.

Area of Science:

Pediatric Urology
Neurology
Functional Urology

Background:

Bladder dysfunction in children often stems from neurological defects, leading to clear causes.
In neurologically normal children, the cause of incontinence is typically unclear and often attributed to functional issues rather than anatomical abnormalities.
This condition in neurologically normal children is termed 'functional incontinence'.

Purpose of the Study:

To discuss different forms of bladder and sphincter dysfunction in children.
To describe current and novel treatment modalities for pediatric bladder dysfunction.
To highlight new developments in surgical treatments for neuropathic bladders and functional incontinence.

Main Methods:

Review of existing literature on pediatric bladder and sphincter dysfunction.

Related Experiment Videos

Analysis of treatment options for neuropathic bladders, emphasizing surgical interventions.

Exploration of treatment variability and new developments for functional incontinence.

Main Results:

Neurological defects provide a clear etiology for bladder dysfunction in affected children.
Functional incontinence is the common diagnosis for children with unclear causes and no apparent anatomical abnormalities.
Treatment strategies differ significantly between neuropathic and functional bladder conditions.

Conclusions:

Understanding the distinction between neuropathic and functional bladder issues is crucial for effective pediatric care.
New surgical advancements offer improved outcomes for children with neuropathic bladders.
Varied and evolving treatment options exist for functional incontinence in children.