Primer: diagnosis and management of uncomplicated daytime wetting in children

Area of Science:

• Pediatric Urology
• Child Health
• Urodynamics

Background:

• Functional daytime wetting is a frequent pediatric urology concern.
• Unlike adults, pediatric incontinence evaluation must account for developmental age.
• Functional incontinence lacks identifiable structural or neurological causes.

Purpose of the Study:

• To summarize the evaluation and treatment of functional daytime wetting in children.
• To highlight the importance of developmental context in pediatric incontinence.
• To outline the heterogeneous etiologies of functional incontinence.

Main Methods:

• Clinical evaluation in an office setting.
• Assessment of bladder storage and voiding phases.
• Identification of underlying etiologic mechanisms.

Main Results:

• Functional incontinence stems from diverse causes affecting bladder function.
• Etiologies can involve disorders of bladder storage or voiding.
• Accurate diagnosis is crucial for effective management.

Conclusions:

• Optimal treatment for functional daytime wetting requires precise etiological determination.
• Therapeutic strategies include behavioral modification, medication, and managing comorbidities.
• Addressing underlying issues like infections and constipation is key.