Non-neurogenic elimination disorders in children

Area of Science:

• Urology
• Pediatric Urology
• Continence Care

Background:

• Non-neurogenic elimination disorders encompass diverse lower urinary tract and bowel dysfunctions.
• These conditions occur without a known neurological cause or congenital malformation.
• They include incontinence during bladder filling and dysfunctional voiding syndromes.

Purpose of the Study:

• To review conditions causing incontinence with normal voiding patterns.
• To describe dysfunctional elimination syndromes and their components.
• To define the spectrum of non-neurogenic elimination disorders, including non-neurogenic neurogenic bladder syndrome.

Main Methods:

• Literature review of conditions causing incontinence and dysfunctional voiding.
• Analysis of symptoms including overactive bladder, giggle incontinence, and post-void dribbling.
• Examination of dysfunctional elimination syndrome characteristics and severe cases.

Main Results:

• Conditions reviewed include overactive bladder, giggle incontinence, and post-void dribbling.
• Dysfunctional elimination syndrome involves detrusor-sphincter dyscoordination, bladder capacity issues, and residuals.
• Non-neurogenic neurogenic bladder syndrome represents a severe form with upper tract impairment.

Conclusions:

• Non-neurogenic elimination disorders present a spectrum of voiding and bowel dysfunction.
• While termed 'non-neurogenic,' underlying neurological causes may yet be identified.
• Understanding this spectrum is crucial for diagnosis and management of continence issues.