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Functional daytime incontinence: clinical and urodynamic assessment
J D van Gool1, M A Vijverberg, T P de Jong
1Division of Children's Surgical Associates Ltd., Philadelphia, PA.
Scandinavian Journal of Urology and Nephrology. Supplementum
|January 1, 1992
Summary
Diagnosing daytime wetting in children requires specific questions about bladder function, distinguishing it from functional incontinence. Urodynamics helps identify four key bladder/sphincter dysfunction patterns, crucial for effective treatment.
Area of Science:
- Pediatric Urology
- Pediatric Nephrology
- Child Health
Background:
- Daytime wetting in children is often categorized as enuresis diurna or functional incontinence.
- Standard history-taking may not sufficiently differentiate these conditions, necessitating targeted questioning.
Purpose of the Study:
- To develop and validate a questionnaire, supported by urodynamics, for precise diagnosis of daytime wetting in children.
- To identify distinct patterns of bladder/sphincter dysfunction contributing to daytime wetting.
Main Methods:
- A validated questionnaire focusing on daytime wetting, nighttime wetting, micturition, and urge symptoms was administered.
- Urodynamic studies were employed to elucidate the pathophysiology of bladder/sphincter dysfunction in 156 children with persistent daytime wetting.
Main Results:
- Four primary patterns of bladder/sphincter dysfunction were identified: urge syndrome, staccato voiding, fractionated/incomplete voiding, and lazy bladder syndrome.
- A significant correlation was observed between recurrent urinary tract infections (UTIs) and non-neuropathic bladder/sphincter dysfunction.
Conclusions:
- History-taking combined with urodynamics effectively categorizes bladder/sphincter dysfunction in children with daytime wetting.
- Early detection and management of bladder/sphincter dysfunction are vital for children with recurrent UTIs, particularly those with vesico-ureteral reflux.