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Related Experiment Videos

Voiding dysfunction in children.

Seth L Schulman1

  • 1Dysfunctional Outpatient Voiding Center, Division of Urology, University of Pennsylvania School of Medicine, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA. schulman@email.chop.edu

The Urologic Clinics of North America
|August 18, 2004
PubMed
Summary
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Pediatrics·2004

Children with lower urinary tract dysfunction often experience wetting or recurrent urinary tract infections. This article explores causes, evaluation, and treatment for these common pediatric urology cases.

Area of Science:

  • Pediatric Urology
  • Child Health
  • Urologic Dysfunction

Background:

  • Practicing urologists frequently encounter children presenting with lower urinary tract dysfunction.
  • Common symptoms include nocturnal enuresis (bedwetting) and recurrent urinary tract infections (UTIs).
  • These symptoms can significantly impact a child's quality of life and may indicate underlying functional issues.

Purpose of the Study:

  • To identify proposed etiologies for lower urinary tract dysfunction in children without identifiable anatomic or neuropathic causes.
  • To outline a systematic approach for evaluating children with these symptoms.
  • To describe a structured, interdisciplinary treatment strategy for managing pediatric lower urinary tract dysfunction.

Main Methods:

  • Literature review of proposed etiologies for functional lower urinary tract dysfunction.

Related Experiment Videos

  • Description of a diagnostic pathway including history, physical examination, and relevant investigations.
  • Outline of a stepwise treatment approach involving behavioral, medical, and potentially surgical interventions.

    • Main Results:

    • Functional lower urinary tract dysfunction is common in pediatric urology practice.
    • A thorough evaluation can identify potential contributing factors even in the absence of structural abnormalities.
    • A multidisciplinary approach is often necessary for effective management.

    Conclusions:

    • Lower urinary tract dysfunction in children, when lacking organic causes, requires careful evaluation.
    • A stepwise, interdisciplinary treatment plan is crucial for successful outcomes.
    • Addressing functional voiding issues can improve symptoms like wetting and recurrent UTIs in children.