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Psychogenic urinary retention in children: a case report
Kong-Sang Wan1, Nai-Hsuan Liu, Chih-Kuang Liu
1Department of Pediatrics, Taipei City Hospital, Renai Branch, College of Medicine, National Yang-Ming University, Taipei, Taiwan. gwan1998@gmail.com
Pediatrics and Neonatology
|October 19, 2010
Summary
Psychogenic urinary retention is rare in children but can occur. This case highlights the importance of considering psychological factors alongside infections for accurate diagnosis and effective treatment.
Area of Science:
- Pediatric Urology
- Child Psychology
Background:
- Psychogenic factors can influence bladder function, though typically causing irritative symptoms rather than retention.
- Diagnosing psychogenic urinary retention requires excluding other potential pathological causes.
Observation:
- A 6-year-old girl presented with a month of voiding difficulty.
- Initial urological studies revealed a urinary tract infection (Escherichia coli) but no structural abnormalities or vesicoureteral reflux on imaging.
- Uroflowmetry indicated a low flow rate with residual urine.
Findings:
- The patient was diagnosed with psychogenic urinary retention concurrent with a urinary tract infection.
- A combination of intermittent catheterization, bladder training, and psychotherapy was initiated.
Implications:
- This case underscores the need for a multidisciplinary approach in pediatric voiding dysfunction.
- Early recognition and integrated treatment of psychogenic urinary retention can lead to successful patient recovery.
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