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Updated: Jul 18, 2026

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Published on: February 10, 2023
Quality of life in neurologically healthy children with urinary incontinence
Gunilla Gladh1, Monica Eldh, Sven Mattsson
1Department of Molecular and Clinical Medicine, Division of Paediatrics, Faculty of Health Sciences, University of Linköping, Linköping, Sweden. gunilla.glad@Lio.se
Insights
Active treatment for childhood urinary incontinence significantly improves quality of life (QoL). This study found incontinent children have lower QoL, impacting social skills and self-esteem, supporting early intervention.
Area of Science:
- Pediatric Urology
- Quality of Life Research
- Child Psychology
Background:
- Urinary incontinence in children can negatively impact psychosocial well-being.
- Limited data exists on the quality of life (QoL) for neurologically healthy children with urinary incontinence.
Purpose of the Study:
- To evaluate the quality of life (QoL) in children with urinary incontinence.
- To provide evidence supporting active treatment for childhood urinary incontinence.
Main Methods:
- A validated, child-adjusted self-rating QoL questionnaire was administered to 120 children (aged 6-16) with urinary incontinence.
- A control group of 239 age-matched healthy children was included for comparison.
- Data was analyzed comparing the patient and control groups overall and in age-specific subgroups.
Main Results:
- Children with urinary incontinence reported significantly lower QoL scores compared to controls (p<0.0001).
- Social situation, self-esteem, and self-confidence were most affected, particularly in younger children.
- A small percentage of the control group with incontinence also reported lower QoL, but still better than the study patients.
Conclusions:
- Quality of life (QoL) is demonstrably reduced in children experiencing urinary incontinence.
- The findings strongly support the initiation of active treatment for urinary incontinence in children at younger ages.
Aim:
To bring forward the arguments for active treatment of urine incontinence in otherwise healthy children, a quality-of-life (QoL) study was performed.
Subjects And Methods:
A self-rating QoL questionnaire, child-adjusted and validated, was completed by 120 neurologically healthy children, aged 6-16 y, with urinary incontinence. Another 239 age-matched children made up a control group. The two groups were compared both totally and in age-related subgroups (6-8, 9-12, >12 y) concerning the index for all questions, for universal parts (without questions dealing with incontinence) as well as for specific key domains.
Results:
The patient group had a significantly lower index than the control group both with and without items related to incontinence (p<0.0001). Social situation, self-esteem and self-confidence were most influenced, particularly in the youngest children. Thirty-one children (13%) of the control group reported incontinence and did not score their QoL as good as their continent peers but better than the study patients.
Conclusion:
From the quality-of-life aspects, the study supports active treatment of urinary incontinence in children already at younger ages.
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