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Related Experiment Videos

Pediatric urinary incontinence.

K K Himsl1, R S Hurwitz

  • 1Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California.

The Urologic Clinics of North America
|May 1, 1991
PubMed
Summary
This summary is machine-generated.

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Clinicians can differentiate benign voiding dysfunction and nocturnal enuresis from serious urinary tract conditions. Initial empiric treatment is preferred for isolated wetting, while invasive investigation is reserved for symptoms like infection or dysuria.

Area of Science:

  • Urology
  • Pediatric Urology

Background:

  • Voiding dysfunction and nocturnal enuresis are common issues.
  • Distinguishing benign conditions from serious urinary tract pathology is crucial for appropriate management.

Purpose of the Study:

  • To outline diagnostic and therapeutic strategies for voiding dysfunction and nocturnal enuresis.
  • To guide clinicians in differentiating benign wetting from underlying pathological conditions.

Main Methods:

  • Clinical history taking to assess symptoms and patterns of wetting.
  • Evaluation of associated symptoms such as infection and dysuria.
  • Consideration of bladder contraction patterns and occurrence during sleep.

Main Results:

  • Isolated wetting, consistent with uninhibited bladder contractions or occurring only during sleep, often responds to empiric treatment.

Related Experiment Videos

  • Wetting associated with infection, persistent dysuria, or suggestive of anatomic/neurogenic causes necessitates thorough urinary tract investigation.

    • Conclusions:

    • A careful clinical assessment is paramount in managing voiding dysfunction and nocturnal enuresis.
    • Empiric treatment is a preferred initial approach for uncomplicated cases.
    • Invasive investigations are indicated when red flag symptoms suggest underlying pathology.