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An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
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Urinary incontinence in children.

Daniela Schultz-Lampel1, Christian Steuber, Peter F Hoyer

  • 1Kontinenzzentrum Südwest, Schwarzwald Baar-Klinikum, Röntgenstr. 20, 78054 Villingen-Schwenningen, Germany. ksw@sbk-vs.de

Deutsches Arzteblatt International
|October 7, 2011
PubMed
Summary
This summary is machine-generated.

Urinary incontinence in children, or enuresis, has diverse causes. Understanding if it

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Area of Science:

  • Pediatric Urology
  • Childhood Continence Disorders

Background:

  • Urinary incontinence, including bedwetting (enuresis), is a prevalent urinary symptom in pediatric populations.
  • It significantly impacts affected children and their families, causing considerable distress.
  • Differentiating physiological from non-physiological causes of incontinence in this age group can be challenging.

Purpose of the Study:

  • To elucidate the varied etiologies of nocturnal enuresis in children and adolescents.
  • To differentiate between monosymptomatic enuresis nocturna (MEN) and non-monosymptomatic enuresis nocturna (non-MEN).
  • To outline diagnostic approaches and treatment strategies for childhood urinary incontinence.

Main Methods:

  • Literature review of PubMed-indexed studies.
  • Interdisciplinary expert consensus development.

Main Results:

  • Monosymptomatic enuresis nocturna (MEN) is linked to impaired waking responses to bladder fullness and a mismatch between bladder capacity and nocturnal urine production.
  • Non-monosymptomatic enuresis nocturna (non-MEN) is typically associated with bladder dysfunction, a common cause of daytime incontinence as well.
  • Non-invasive diagnostic tests are generally sufficient for initial classification; further investigations are warranted for suspected organic causes or treatment failures.

Conclusions:

  • Childhood urinary incontinence requires distinct diagnostic and therapeutic approaches compared to adults.
  • Urotherapy forms the cornerstone of treatment, supplemented by medication for some patients.
  • Healthcare providers across various specialties must recognize the unique aspects of pediatric urinary incontinence.