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[Diagnostics of functional bladder disorders in children]

D Schultz-Lampel1, B Schönberger

  • 1Kontinenzzentrum Südwest, Klinikum der Stadt Villingen-Schwenningen. ksw.daniela.schultz-lampel@klinikumvs.de

Der Urologe. Ausg. A
|May 25, 2004
PubMed

Insights

Pediatric functional bladder disorders, including enuresis and urinary incontinence, are diagnosed using non-invasive methods. Invasive tests like video-urodynamics are essential for classifying pediatric urinary incontinence.

Area of Science:

  • Pediatric Urology
  • Urodynamics
  • Child Health

Context:

  • Functional bladder disorders are frequent in children.
  • Current practice differentiates enuresis from pediatric urinary incontinence.
  • Diagnosis often relies on non-invasive primary procedures.

Purpose:

  • To outline diagnostic procedures for pediatric bladder disorders.
  • To emphasize the distinction between enuresis and urinary incontinence in diagnostic work-up.
  • To highlight the necessity of invasive diagnostics for urinary incontinence.

Summary:

  • Strict differentiation between enuresis and pediatric urinary incontinence is crucial.
  • Monosymptomatic enuresis typically requires only non-invasive diagnostics.
  • Video-urodynamic studies are mandatory for classifying pediatric urinary incontinence.
  • New guidelines aim to standardize the diagnostic evaluation of pediatric bladder disorders.

Impact:

  • Standardized diagnostic work-up for pediatric bladder disorders.
  • Improved classification and management of functional bladder disorders in children.
  • Reduced unnecessary invasive procedures for monosymptomatic enuresis.

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