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[Overactive bladder syndrome in children].

C Persson de Geeter¹

¹Klinik für Urologie, Klinikum Kassel. persson@klinikum-kassel.de

Der Urologe. Ausg. A

|June 16, 2004

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Overactive bladder in children, often due to delayed maturation, causes urinary frequency and urgency. Treatment involves behavioral changes and medication, with alternative therapies available for persistent cases.

Area of Science:

Pediatric Urology
Neuroscience
Developmental Biology

Context:

Overactive bladder (OAB) in children presents as urinary frequency and urgency, potentially with urge incontinence.
A primary suspected cause is the delayed maturation of neuroanatomic structures governing bladder control.
Nocturnal incontinence is a common symptom, sometimes misdiagnosed as nocturnal enuresis, leading to inappropriate treatment.

Purpose:

To define overactive bladder in childhood based on current terminology.
To elucidate the primary etiologic factors, focusing on neurodevelopmental aspects.
To outline diagnostic approaches and therapeutic strategies for pediatric OAB.

Summary:

Pediatric overactive bladder is characterized by frequency and urgency, often linked to immature bladder control mechanisms.

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Diagnostic evaluation emphasizes excluding neurological disorders and assessing voiding dysfunction.

Treatment primarily involves behavioral modification and cognitive strategies, supported by anticholinergic medications.

Impact:

Improved diagnostic accuracy for childhood urinary dysfunction.
Enhanced understanding of the neurodevelopmental basis of pediatric overactive bladder.
Provides a framework for effective, multi-modal treatment strategies, including behavioral, medical, and alternative therapies.