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[Acquisition of bladder control in children]
1Service de neuropédiatrie, hôpital Saint-Vincent-de-Paul, Paris, France.
Neurophysiologie Clinique = Clinical Neurophysiology
|July 1, 1992
Summary
Childhood urinary control develops by age five, starting with daytime dryness and progressing to nighttime control. This process relies on central nervous system maturation and parental guidance, with dysfunction arising from delays or failures.
Area of Science:
- Pediatric urology
- Neuroscience
- Child development
Context:
- Urinary control in children is a developmental milestone typically achieved within the first five years of life.
- It involves the maturation of the central nervous system and the bladder's capacity for controlled micturition.
- Parental training plays a significant role in supporting this developmental process.
Purpose:
- To elucidate the key factors and developmental timeline of urinary control in children.
- To define the criteria for mature bladder function and successful micturition control.
- To identify potential causes and patterns of voiding dysfunction in pediatric populations.
Summary:
- Achieving urinary control by age five involves mastering daytime and then nighttime dryness.
- Mature bladder function enables voluntary initiation and inhibition of urination regardless of bladder filling.
- Micturition control is dependent on neurological maturation, with parental training being a crucial supportive element.
Impact:
- Understanding these mechanisms aids in identifying and managing pediatric voiding dysfunctions like incontinence and enuresis.
- Early recognition of delayed development or dyssynergia can prevent conditions such as nonneurogenic neurogenic bladder.
- This knowledge supports clinical practice and parental guidance for promoting healthy bladder development.