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Factors associated with low and high voiding frequency in children with diurnal urinary incontinence

Alexander von Gontard1, Jon Heron, Carol Joinson

  • 1Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, Germany. alexander.von.gontard@uniklinik-saarland.de

BJU International
|August 18, 2009
PubMed

Insights

Children with diurnal urinary incontinence (UI) experience more somatic and psychological issues. High voiding frequency in children with diurnal UI is linked to increased behavioral problems and other health risks.

Area of Science:

  • Pediatrics
  • Urology
  • Child Psychology

Background:

  • Diurnal urinary incontinence (UI) affects a significant number of children.
  • Understanding the associated risks and symptoms is crucial for effective management.
  • Voiding frequency is a key factor that may influence the prognosis of diurnal UI.

Purpose of the Study:

  • To examine the relationship between voiding frequency and diurnal UI in 6.5-year-old children.
  • To determine if high or low voiding frequency correlates with increased somatic and psychological risks.
  • To investigate the prevalence of diurnal UI in a large, population-based cohort.

Main Methods:

  • Utilized data from the Avon Longitudinal Study of Parents and Children, a prospective birth cohort study.
  • Analyzed postal questionnaires completed by parents of over 8000 children.
  • Assessed diurnal UI, voiding frequency, and associated somatic and behavioral symptoms.

Main Results:

  • 10.4% of children experienced diurnal UI, with associated gastrointestinal, urinary, and psychological symptoms.
  • Children with diurnal UI showed varied voiding frequencies: 35.7% <5/day, 61.5% 5-9/day, 2.8% >=10/day.
  • High voiding frequency was associated with behavioral issues, nocturia, and urgency; low frequency with needing reminders.

Conclusions:

  • Voiding frequency is a significant indicator in children with diurnal UI.
  • Children with high voiding frequencies face a greater risk of associated somatic and behavioral problems.
  • Early identification of voiding patterns can aid in managing diurnal UI and its complications.
Abstract

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